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New Hampshire rates for HCPCS 78075

Adrenal Imaging Cortex &/Medulla

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.98 / $1,483.33 / $1,483.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.25 / $434.58 / $434.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.40 / $2,074.09 / $2,304.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.92 / $565.13 / $819.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.50 / $3,686.19 / $7,857.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.78 / $970.92 / $1,267.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.20 / $839.55 / $3,253.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.37 / $576.95 / $3,165.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.35 / $406.29 / $517.09