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New Hampshire rates for HCPCS 92549

Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and report; with motor control test (MCT) and adaptation test (ADT)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $63.10 / $83.18
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.02 / $43.65 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $87.10 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.66 / $54.95 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $100.00 / $194.98
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.77 / $70.79 / $131.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $102.33 / $165.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.86 / $70.79 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $102.33 / $186.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $72.44 / $125.89
Well Sense
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.18 / $28.18 / $33.11