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New Hampshire rates for HCPCS 78265

Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.18 / $69.18 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $363.08 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $724.44 / $1,096.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $630.96 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $1,096.48
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.84 / $33.88 / $33.88