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New Hampshire rates for HCPCS 76831

Saline Infus Sonohysterography W/Color Doppler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.07 / $66.73 / $127.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.21 / $127.59 / $351.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.27 / $130.43 / $269.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.63 / $124.82 / $209.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.05 / $213.26 / $361.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.64 / $210.86 / $417.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.35 / $150.22 / $273.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.44 / $114.53 / $168.36