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New Hampshire rates for HCPCS 76801

Us Pregnant Uterus 14 Wk Transabdl 1/1st Gestat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.25 / $64.80 / $179.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.48 / $132.06 / $304.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.65 / $48.25 / $125.46
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.83 / $83.81 / $235.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.11 / $92.34 / $273.77
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.95 / $52.39 / $149.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.89 / $165.74 / $232.38
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.29 / $66.48 / $93.22
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.59 / $99.25 / $139.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.47 / $226.68 / $364.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.52 / $88.11 / $139.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.65 / $136.63 / $222.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.22 / $223.54 / $425.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.84 / $89.67 / $160.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.39 / $137.24 / $254.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.51 / $159.11 / $281.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.41 / $63.04 / $111.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.98 / $99.69 / $169.57
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.29 / $116.75 / $171.62
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.94 / $45.47 / $61.51
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.08 / $70.31 / $100.03