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New Hampshire rates for HCPCS C9762

Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,028.53 / $2,028.53 / $2,028.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,299.95 / $3,299.95 / $4,577.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,300.00 / $1,300.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.68 / $1,562.34 / $2,393.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,393.67 / $2,393.67 / $2,393.67
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00