go back

New Hampshire rates for HCPCS C2635

Brachytherapy source, nonstranded, high activity, palladium-103, greater than 2.2 mCi (NIST), per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.41 / $604.41 / $725.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.12 / $604.41 / $604.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.38 / $76.70 / $101.25