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New Hampshire rates for HCPCS 77771

Hdr Rdncl Ntrstl/Intrcav Brachytx 2-12 Channel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$306.08 / $306.08 / $306.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.39 / $616.66 / $729.16
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$145.68 / $197.26 / $227.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.21 / $843.92 / $1,223.68
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$195.70 / $277.94 / $403.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.70 / $1,324.19 / $1,852.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$256.70 / $426.38 / $596.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.51 / $1,295.99 / $2,420.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$224.12 / $402.44 / $737.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.24 / $796.17 / $1,909.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$203.29 / $258.73 / $452.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.53 / $562.42 / $849.42
Well Sense
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.16 / $181.38 / $250.42