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New Hampshire rates for HCPCS 55876

Plmt Interstitial Dev Radiat Tx Prostate 1/Mult

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.05 / $572.79 / $4,452.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.25 / $175.81 / $322.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $3,700.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.49 / $202.56 / $299.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.91 / $273.36 / $460.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.53 / $261.41 / $510.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,611.00 / $8,611.00 / $8,611.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.88 / $245.50 / $500.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.28 / $118.92 / $163.92