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New Hampshire rates for HCPCS 77306

Telethx Isodose Pln Smpl W/Dosimetry Calculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$112.36 / $112.36 / $112.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.40 / $147.58 / $147.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.56 / $206.73 / $299.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.26 / $318.68 / $451.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $317.48 / $592.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.07 / $192.79 / $713.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.85 / $138.82 / $209.65