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New Hampshire rates for HCPCS 76705

Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $537.03 / $912.01
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.84 / $41.69 / $109.65
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$74.13 / $144.54 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $107.15 / $309.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.91 / $38.90 / $89.13
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.12 / $79.43 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $100.00 / $281.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $33.88 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.81 / $42.66 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $478.63 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $134.90 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $40.74 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $89.13 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $501.19 / $645.65
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $158.49 / $263.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $47.86 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.79 / $112.20 / $181.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $154.88 / $229.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $48.98 / $72.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $104.71 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $239.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $38.90 / $74.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $85.11 / $162.18