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New Hampshire rates for HCPCS R0075

Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $158.49 / $229.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $181.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $251.19 / $354.81
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96