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New Hampshire rates for HCPCS 76965

Ultrasonic guidance for interstitial radioelement application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$251.19 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $100.00 / $245.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $64.57 / $208.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $134.90 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $95.50 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $213.80 / $331.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $134.90 / $194.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $177.83 / $288.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $125.89 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $275.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $87.10 / $169.82