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New Hampshire rates for HCPCS 78215

Liver and spleen imaging; static only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.13 / $89.13 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $186.21 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $426.58 / $575.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $338.84 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $251.19 / $691.83