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New Hampshire rates for HCPCS 77301

Ntsty Modul Radthx Pln Dose-Vol Histos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$642.97 / $1,440.24 / $1,440.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.03 / $1,889.42 / $5,878.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$302.10 / $347.37 / $1,025.26
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,239.94 / $1,726.05 / $4,853.39
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.97 / $1,455.97 / $1,712.90
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$402.61 / $580.75 / $1,363.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.82 / $2,553.35 / $3,702.35
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$411.12 / $583.90 / $846.65
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,386.69 / $1,969.45 / $2,855.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,401.19 / $4,039.41 / $5,691.16
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$507.37 / $864.61 / $1,253.33
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,861.94 / $3,140.60 / $4,590.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.94 / $3,907.47 / $6,779.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$470.84 / $845.45 / $1,550.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,588.12 / $2,851.68 / $5,229.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,039.93 / $2,506.08 / $6,308.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$389.69 / $544.23 / $1,442.68
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,650.24 / $2,053.46 / $6,493.87
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.26 / $1,851.91 / $2,722.31
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$324.27 / $381.50 / $525.84
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,216.63 / $1,459.96 / $2,236.19