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New Hampshire rates for HCPCS 77407

Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,454.71 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $204.17 / $288.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $398.11 / $537.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $616.60 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $316.23 / $794.33
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89