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New Hampshire rates for HCPCS G0288

Reconstruction Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $46.95 / $86.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.26 / $96.75 / $137.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $41.66 / $41.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $91.05 / $170.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.45 / $57.23 / $397.26
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.83 / $40.52 / $364.96