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New Hampshire rates for HCPCS 76881

Ultrasound, complete joint (ie, joint space and peri-articular soft tissue structures) real-time with image documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.18 / $28.18 / $39.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $114.82 / $213.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.44 / $48.98 / $128.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$138.04 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.00 / $52.48 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $53.70 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $61.66 / $97.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $45.71 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$81.28 / $87.10 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$10.96 / $11.75 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $125.89 / $269.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $61.66 / $109.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.45 / $33.88 / $204.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $97.72 / $151.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $77.62 / $114.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$12.88 / $19.95 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $109.65 / $223.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.36 / $48.98 / $97.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.45 / $58.88 / $147.91