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New Hampshire rates for HCPCS 77373

Stereotactic Body Radiation Delivery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.94 / $5,636.70 / $5,636.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.06 / $897.06 / $897.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$949.37 / $1,348.34 / $1,955.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.26 / $2,070.63 / $3,866.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.34 / $1,666.54 / $5,832.13
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.48 / $1,266.91 / $1,870.29