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New Hampshire rates for HCPCS C2639

Brachytherapy source, nonstranded, iodine-125, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $26.92 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $54.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $36.31 / $81.28