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New Hampshire rates for HCPCS 76886

Us Inft Hips R-T Img Lmtd Static Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.63 / $341.58 / $1,140.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $93.01 / $258.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.88 / $513.85 / $570.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.07 / $141.05 / $197.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.69 / $521.64 / $599.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.46 / $185.12 / $306.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.98 / $190.24 / $339.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.65 / $132.79 / $207.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.38 / $100.45 / $148.85