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New Hampshire rates for HCPCS 77402

Radiation Treatment Delivery 1 Mev+ Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.05 / $503.15 / $503.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.60 / $109.60 / $503.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.79 / $149.79 / $182.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.71 / $731.56 / $1,020.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.52 / $291.19 / $389.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.94 / $258.92 / $483.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.09 / $179.58 / $343.22
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.12 / $168.82 / $273.76