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New Hampshire rates for HCPCS 61797

Strtctc Radiosurgery Ea Addl Cranial Les Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.62 / $739.62 / $739.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.38 / $303.37 / $739.62
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
$264.58 / $414.72 / $604.91
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
$294.02 / $474.74 / $648.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.77 / $485.57 / $806.30
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
$290.97 / $438.03 / $650.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.44 / $198.29 / $299.47