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New Hampshire rates for HCPCS 76705

Us Abdominal Real Time W/Image Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.64 / $531.17 / $901.68
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.66 / $41.70 / $108.97
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$79.98 / $145.59 / $619.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.69 / $103.49 / $299.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $28.66 / $74.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.80 / $79.98 / $224.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.70 / $89.58 / $283.19
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.56 / $22.06 / $63.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.51 / $449.29 / $499.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.10 / $123.47 / $173.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.85 / $39.42 / $55.27
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.25 / $84.06 / $117.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.58 / $490.72 / $638.85
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$414.68 / $414.68 / $414.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.67 / $168.93 / $272.97
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.18 / $52.76 / $83.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.42 / $115.03 / $188.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.28 / $160.31 / $317.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.73 / $50.55 / $94.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.54 / $113.37 / $202.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.67 / $114.80 / $208.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.70 / $36.31 / $63.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.70 / $81.23 / $160.41
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.86 / $87.43 / $128.53
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.30 / $26.74 / $36.18
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.39 / $60.09 / $90.14