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New Hampshire rates for HCPCS 76882

Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.50 / $19.50 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $60.26 / $194.98
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $45.71 / $112.20
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.44 / $107.15 / $112.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$8.91 / $23.99 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $36.31 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $67.61 / $93.33
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $40.74 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$95.50 / $104.71 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $38.02 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $85.11 / $147.91
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $47.86 / $85.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$14.45 / $36.31 / $83.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $77.62 / $151.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $33.11 / $138.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.80 / $41.69 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $77.62 / $169.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $37.15 / $74.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.80 / $41.69 / $85.11