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New Hampshire rates for HCPCS C2699

Brachytherapy source, nonstranded, not otherwise specified, per source

Insurance Carrier
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
$35.11 / $38.82 / $51.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.11 / $35.11 / $77.23