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New Hampshire rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $117.49 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $524.81 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $229.09 / $457.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $316.23 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $257.04 / $537.03
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89