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New Hampshire rates for HCPCS 77065

Diagnostic Mammography Computer-Aided Detcj Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.42 / $39.42 / $70.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.14 / $130.40 / $306.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.27 / $36.00 / $72.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.87 / $87.07 / $136.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.78 / $129.94 / $296.36
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.25 / $38.85 / $121.83
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.45 / $208.45 / $208.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.95 / $179.04 / $256.72
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.88 / $54.14 / $76.56
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.07 / $124.90 / $176.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.41 / $259.89 / $383.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.22 / $76.34 / $114.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.24 / $181.02 / $269.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.60 / $230.13 / $459.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.21 / $69.44 / $139.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.39 / $171.05 / $320.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.80 / $177.35 / $355.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.12 / $54.05 / $102.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.42 / $125.53 / $253.36
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.30 / $144.86 / $3,000.00
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.19 / $36.69 / $55.41
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.34 / $88.64 / $133.87