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New Hampshire rates for HCPCS 78452

Myocardial Spect Multiple Studies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.62 / $76.62 / $142.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.65 / $486.05 / $1,160.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.46 / $76.62 / $198.76
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$333.18 / $409.42 / $941.36
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.07 / $100.17 / $238.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.86 / $600.27 / $870.39
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.13 / $105.90 / $153.55
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$336.73 / $494.37 / $716.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.59 / $1,021.61 / $1,438.75
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.36 / $170.53 / $223.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$452.23 / $851.08 / $1,225.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.06 / $831.84 / $3,253.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.83 / $146.44 / $272.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$391.30 / $683.61 / $1,269.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.75 / $630.08 / $847.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.98 / $106.15 / $150.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$504.77 / $546.83 / $737.52
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.03 / $449.26 / $678.50
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.24 / $72.20 / $97.69
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$305.33 / $378.40 / $559.77