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New Hampshire rates for HCPCS 76817

Ultrasound, pregnant uterus, real time with image documentation, transvaginal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.42 / $53.48 / $134.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.64 / $100.03 / $364.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.46 / $36.43 / $90.77
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.18 / $63.61 / $178.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $104.63 / $254.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.32 / $39.68 / $113.42
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.78 / $67.78 / $67.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.95 / $130.60 / $183.11
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.29 / $50.34 / $70.58
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.67 / $80.26 / $112.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.53 / $178.63 / $286.95
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.95 / $66.83 / $106.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.58 / $110.47 / $178.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.83 / $180.97 / $335.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.25 / $67.89 / $121.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.58 / $104.20 / $206.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.65 / $125.17 / $249.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.65 / $47.43 / $72.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.73 / $74.55 / $137.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $91.48 / $134.47
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.54 / $34.21 / $46.28
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.49 / $56.52 / $81.05