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New Hampshire rates for HCPCS 77061

Digital Breast Tomosynthesis Unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.57 / $168.00 / $475.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.75 / $148.81 / $168.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.78 / $93.78 / $99.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.34 / $184.69 / $261.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.12 / $532.13 / $749.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.41 / $266.76 / $407.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.86 / $277.77 / $556.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.90 / $190.84 / $388.69
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00