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New Hampshire rates for HCPCS 77048

Mri Breast W/Out&With Contrast W/Cad Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$150.09 / $150.09 / $150.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $443.16 / $577.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.58 / $706.30 / $1,012.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.51 / $741.53 / $1,056.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.45 / $672.58 / $1,246.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.13 / $591.69 / $1,544.61
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.54 / $422.28 / $637.76