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New Hampshire rates for HCPCS 77290

Ther Rad Simulaj-Aided Field Setting Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.50 / $281.18 / $281.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.29 / $539.90 / $1,497.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.97 / $76.81 / $205.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$350.32 / $463.09 / $1,281.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.80 / $1,043.80 / $1,043.80
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.56 / $113.36 / $266.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.62 / $607.33 / $880.62
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.22 / $113.93 / $165.19
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$347.40 / $493.40 / $715.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.05 / $1,012.95 / $1,523.48
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.52 / $169.60 / $245.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$466.81 / $841.72 / $1,309.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.74 / $932.67 / $1,612.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.87 / $164.97 / $302.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$397.86 / $714.41 / $1,310.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.73 / $654.47 / $1,500.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.20 / $107.13 / $392.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$386.70 / $547.34 / $1,116.49
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.90 / $484.68 / $712.48
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.84 / $75.09 / $103.28
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$339.60 / $404.12 / $595.89