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New Hampshire rates for HCPCS 76376

3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$9.33 / $15.49 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $42.66 / $275.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $10.00 / $32.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.88 / $20.89 / $112.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $83.18 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $10.96 / $13.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $40.74 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.33 / $14.79 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $25.70 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $52.48 / $177.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $19.05 / $27.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $33.11 / $154.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $38.90 / $67.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $15.49 / $25.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $29.51 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $41.69 / $138.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $13.18 / $25.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $23.44 / $83.18
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.89 / $6.92 / $6.92