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New Hampshire rates for HCPCS C2640

Brachytherapy Source Stranded Palladium-103

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.75 / $139.75 / $167.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $139.75 / $139.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $6.68 / $6.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.77 / $130.77 / $130.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.69 / $77.05 / $101.71