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New Hampshire rates for HCPCS C2616

Brachytherapy Source Non-Stranded Yttrium-90 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,228.50 / $18,228.50 / $21,874.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,126.71 / $18,228.47 / $18,228.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,337.90 / $5,931.00 / $9,352.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,985.01 / $4,985.01 / $4,985.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,087.50 / $16,087.50 / $16,087.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,485.09 / $19,331.53 / $25,517.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,353.40 / $25,353.40 / $25,353.40