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New Hampshire rates for HCPCS 77762

Intracavitary Radiation Source Applic Intermed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.60 / $1,742.29 / $1,742.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.83 / $494.11 / $494.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,303.82 / $2,895.26 / $3,216.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.04 / $774.09 / $1,122.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.70 / $1,861.96 / $3,437.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.75 / $1,172.05 / $1,685.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.21 / $1,188.77 / $2,219.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.41 / $696.44 / $2,551.04
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.90 / $466.29 / $593.46