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New Hampshire rates for HCPCS 77331

Spec Dosim Only Prescribed Treating Phys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.31 / $157.13 / $157.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.24 / $55.57 / $62.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.95 / $37.99 / $43.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.29 / $17.57 / $19.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.72 / $90.50 / $131.22
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.96 / $63.86 / $92.59
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.76 / $26.65 / $38.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.01 / $137.24 / $196.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.65 / $94.08 / $137.46
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.16 / $41.44 / $59.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.95 / $131.04 / $259.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.49 / $98.06 / $169.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.49 / $38.17 / $70.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.37 / $81.34 / $308.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.14 / $62.25 / $217.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.89 / $24.23 / $45.37
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.01 / $59.58 / $89.98
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.45 / $41.70 / $57.22
Well Sense
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.32 / $18.23 / $25.58