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New Hampshire rates for HCPCS 77046

Mri Breast Without Contrast Material Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.36 / $102.36 / $102.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.77 / $370.50 / $425.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.63 / $445.76 / $639.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.92 / $466.47 / $680.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.84 / $424.47 / $786.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.51 / $397.20 / $1,499.16
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.95 / $294.76 / $375.14