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New Hampshire rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $141.25 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $14.13 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $3.80 / $3.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $131.83 / $131.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $89.13 / $194.98