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New Hampshire rates for HCPCS 78215

Liver & Spleen Imaging Static Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.29 / $89.84 / $89.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.40 / $195.60 / $195.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.35 / $255.97 / $371.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.31 / $430.62 / $576.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.00 / $358.53 / $935.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.09 / $251.19 / $1,378.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.50 / $187.46 / $283.12