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New Hampshire rates for HCPCS 19296

Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $741.31 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $457.09 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $645.65 / $10,964.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $4,365.16 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $4,365.16 / $10,232.93