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New Hampshire rates for HCPCS 77772

Hdr Rdncl Ntrstl/Intrcav Brachytx >12 Channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$431.51 / $431.51 / $431.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.31 / $943.04 / $960.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.91 / $1,261.05 / $1,828.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.58 / $1,973.96 / $2,767.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.88 / $1,936.58 / $3,348.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.44 / $1,142.81 / $2,154.21
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.12 / $848.11 / $1,280.88