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New Hampshire rates for HCPCS C2643

Brachytherapy Source Non-Stranded Cesium-131 Per Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.66 / $275.66 / $330.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.55 / $275.66 / $275.66
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
$96.56 / $106.76 / $140.91