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New Hampshire rates for HCPCS 97750

Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.84 / $90.84 / $866.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $24.79 / $36.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.89 / $33.32 / $43.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $125.00 / $125.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.68 / $62.92 / $116.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.14 / $57.21 / $117.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.24 / $36.51 / $43.93
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.32 / $32.11 / $48.51