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New Hampshire rates for HCPCS C2638

Brachytherapy source, stranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.63 / $46.63 / $55.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $46.63 / $46.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $36.96 / $36.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $40.95 / $54.06