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New Hampshire rates for HCPCS 78201

Liver Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.23 / $79.20 / $79.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.50 / $188.93 / $526.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $249.32 / $361.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.30 / $418.22 / $549.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.73 / $345.51 / $3,253.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.34 / $254.00 / $525.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.85 / $183.20 / $276.68