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New Hampshire rates for HCPCS 61798

Stereotactic Radiosurgery 1 Complex 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
$1,140.53 / $1,799.92 / $2,717.97
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
$1,656.06 / $2,645.43 / $3,870.24
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
$1,718.30 / $2,878.57 / $4,161.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.00 / $3,106.63 / $5,158.56
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 / $2,419.35 / $4,087.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.88 / $1,233.65 / $1,892.31