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New Hampshire rates for HCPCS 49412

Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed, single or multiple (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $142.04 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.12 / $84.06 / $99.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,302.10 / $3,669.00 / $6,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $142.72 / $228.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.50 / $157.53 / $242.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.09 / $157.57 / $281.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.81 / $129.40 / $240.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.50 / $77.40 / $113.78