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New Hampshire rates for HCPCS C2616

Brachytherapy source, nonstranded, yttrium-90, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,125.38 / $15,848.93 / $19,952.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $26,915.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,378.01 / $17,782.79 / $38,904.51