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New Hampshire rates for HCPCS 78813

Pet Imaging Whole Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$136.01 / $371.89 / $371.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.00 / $125.00 / $125.00
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.34 / $186.60 / $270.57
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.08 / $203.83 / $269.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.49 / $177.30 / $329.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.31 / $115.34 / $181.75
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.83 / $78.47 / $85.61