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New Hampshire rates for HCPCS 77062

Digital Breast Tomosynthesis Bilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.60 / $77.18 / $189.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.13 / $127.03 / $151.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.91 / $126.01 / $126.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.21 / $233.68 / $330.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$521.60 / $678.44 / $958.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.49 / $288.26 / $485.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.15 / $364.59 / $675.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.05 / $223.33 / $450.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00