go back

New Hampshire rates for HCPCS 76499

Unlisted Diagnostic Radiographic Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.50 / $762.48 / $802.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.29 / $498.67 / $529.92
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00