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New Hampshire rates for HCPCS 61796

Stereotactic Radiosurgery 1 Simple Cranial Les

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.97 / $2,717.97 / $2,717.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.38 / $1,355.82 / $2,717.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.32 / $1,332.32 / $1,332.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,334.70 / $11,489.10 / $21,862.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.28 / $1,957.36 / $2,869.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,953.00 / $111,667.00 / $130,961.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.08 / $2,132.76 / $3,085.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.26 / $2,303.71 / $3,825.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,399.00 / $12,399.00 / $12,399.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.25 / $1,779.58 / $3,006.77
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.91 / $908.91 / $1,394.20