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New Hampshire rates for HCPCS 77371

Radiation Delivery Stereotactic Cranial Cobalt

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,334.70 / $11,483.00 / $21,862.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.47 / $1,235.47 / $1,543.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,197.49 / $111,167.00 / $129,052.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.89 / $2,360.58 / $4,082.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.46 / $1,407.46 / $2,745.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.23 / $1,129.34 / $1,644.73