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New Hampshire rates for HCPCS C2642

Brachytherapy source, stranded, cesium-131, per source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.28 / $89.28 / $107.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.27 / $89.28 / $89.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.68 / $6.68 / $6.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.86 / $119.25 / $157.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.86 / $107.86 / $107.86