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New Hampshire rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.16 / $249.64 / $249.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.22 / $114.67 / $120.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.14 / $66.92 / $76.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.51 / $135.82 / $191.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.34 / $95.93 / $134.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.19 / $213.52 / $390.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.98 / $146.58 / $200.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.91 / $190.25 / $326.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.80 / $142.86 / $246.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.54 / $126.29 / $333.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.15 / $91.58 / $266.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.95 / $98.50 / $138.19
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.05 / $62.38 / $84.39