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New Hampshire rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.26 / $366.23 / $622.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $101.81 / $280.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.52 / $296.52 / $296.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.22 / $697.76 / $775.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.95 / $191.38 / $268.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $563.60 / $864.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $251.08 / $425.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.22 / $258.14 / $460.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.33 / $190.01 / $398.94
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.49 / $114.34 / $164.28