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New Hampshire rates for HCPCS 76872

Us Transrectal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.45 / $130.83 / $130.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.91 / $132.03 / $367.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.86 / $32.46 / $90.23
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.06 / $98.44 / $276.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.88 / $194.48 / $197.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.70 / $24.70 / $73.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.15 / $211.44 / $286.14
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.05 / $34.33 / $57.35
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.10 / $175.09 / $239.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.85 / $293.83 / $618.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.93 / $59.80 / $96.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.36 / $244.66 / $522.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.11 / $386.80 / $718.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.54 / $61.49 / $109.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.56 / $315.79 / $563.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.86 / $198.58 / $363.15
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.64 / $41.57 / $74.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.09 / $162.50 / $238.62
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.84 / $135.30 / $204.34
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.75 / $30.90 / $41.45
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.54 / $105.23 / $145.04