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New Hampshire rates for HCPCS 77761

Intracavitary radiation source application; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.96 / $1,280.48 / $1,280.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.19 / $368.54 / $368.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,754.73 / $2,205.21 / $2,449.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.36 / $588.49 / $853.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.86 / $1,682.53 / $3,437.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.62 / $866.18 / $1,285.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.46 / $905.96 / $1,687.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.01 / $508.76 / $916.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.26 / $353.39 / $449.76