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New Hampshire rates for HCPCS 77089

Tbs Dxa/Other Img Calculation W/I&R Fx Risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $97.90 / $318.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.96 / $41.86 / $54.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.07 / $207.45 / $230.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.82 / $56.99 / $81.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.24 / $81.95 / $123.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.44 / $76.87 / $146.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.31 / $53.71 / $95.55
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.87 / $34.21 / $41.05