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New Hampshire rates for HCPCS C2640

Brachytherapy source, stranded, palladium-103, per source

Facilitymedian $141 · 10th–90th $141–$1660%50%90th$141Professionalmedian $14 · 10th–90th $4–$1410%20%10th90th$14$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

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