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New Hampshire rates for HCPCS 76776

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.91 / $139.38 / $139.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.20 / $153.15 / $425.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.11 / $34.56 / $96.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.08 / $117.24 / $327.95
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.75 / $27.75 / $81.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.68 / $208.01 / $291.64
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.61 / $50.81 / $71.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.07 / $157.19 / $220.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.65 / $270.36 / $451.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.89 / $67.26 / $106.72
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.88 / $206.69 / $345.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.19 / $271.77 / $506.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.61 / $65.41 / $122.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.57 / $212.02 / $378.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.07 / $197.45 / $359.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.95 / $48.66 / $94.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.04 / $162.25 / $308.18
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.64 / $146.75 / $221.63
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.29 / $34.50 / $47.49
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.45 / $112.29 / $163.29