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New Hampshire rates for HCPCS 77318

Brachytx Isodose Pln Cplx W/Dosimetry Cal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$233.17 / $233.17 / $233.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.10 / $317.47 / $358.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.03 / $131.81 / $149.27
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.07 / $185.65 / $209.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.26 / $639.48 / $927.24
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$149.12 / $211.78 / $307.08
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.14 / $427.70 / $620.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.83 / $942.03 / $1,405.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$195.55 / $312.87 / $453.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$399.25 / $634.79 / $951.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.66 / $982.05 / $1,697.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$170.78 / $306.66 / $562.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$344.89 / $619.29 / $1,135.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.15 / $562.67 / $1,957.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$153.79 / $197.43 / $345.51
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$261.76 / $337.00 / $634.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.94 / $379.92 / $577.46
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.61 / $138.36 / $190.90
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$179.77 / $240.24 / $336.31