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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
$68.05 / $68.05 / $68.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.09 / $354.91 / $392.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.23 / $502.44 / $728.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.10 / $757.81 / $1,130.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.78 / $696.27 / $1,290.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.01 / $523.78 / $982.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.45 / $377.79 / $570.57