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New Hampshire rates for HCPCS 0394T

High dose rate electronic brachytherapy, skin surface application, per fraction, includes basic dosimetry, when performed

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.05 / $203.38 / $203.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.48 / $200.25 / $733.50
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00