go back

New Hampshire rates for HCPCS 77075

Radiologic Examination Osseous Survey Compl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.29 / $99.10 / $99.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $96.41 / $286.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.03 / $23.66 / $68.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.47 / $72.73 / $218.03
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.67 / $233.67 / $233.67
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.23 / $32.45 / $83.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.07 / $141.05 / $199.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.23 / $37.04 / $52.38
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.84 / $104.00 / $147.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.50 / $186.51 / $308.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.95 / $52.22 / $77.98
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.64 / $134.62 / $229.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.98 / $190.24 / $362.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.88 / $49.96 / $95.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.09 / $143.82 / $267.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.70 / $124.03 / $239.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.51 / $35.79 / $73.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.05 / $88.67 / $166.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.15 / $91.38 / $134.33
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.26 / $25.13 / $34.47
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.40 / $65.13 / $88.31