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New Hampshire rates for HCPCS 76120

Cineradiography/videoradiography, except where specifically included

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.92 / $77.95 / $123.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.57 / $17.14 / $23.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.35 / $59.43 / $99.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.42 / $156.24 / $225.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.11 / $26.59 / $37.60
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.31 / $129.65 / $187.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.93 / $179.66 / $362.37
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.05 / $37.54 / $56.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.73 / $145.10 / $305.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.83 / $218.85 / $401.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.74 / $35.88 / $68.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.09 / $179.66 / $333.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.90 / $143.56 / $219.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.80 / $25.34 / $52.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.85 / $117.67 / $181.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.58 / $96.34 / $122.61
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.48 / $16.04 / $17.50
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.45 / $80.29 / $87.59