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New Hampshire rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.75 / $79.45 / $105.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.00 / $133.00 / $133.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.33 / $529.92 / $943.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.96 / $228.17 / $337.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.89 / $288.19 / $430.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,750.00 / $3,100.00 / $4,735.00