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New Hampshire rates for HCPCS C1716

Brachytherapy source, nonstranded, gold-198, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.14 / $208.14 / $249.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.38 / $208.14 / $208.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.33 / $960.03 / $1,267.24