go back

New York rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.13 / $86.62 / $149.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.13 / $114.67 / $226.61
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.30 / $67.58 / $135.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.80 / $93.86 / $251.24
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.81 / $69.04 / $157.02
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.18 / $95.23 / $131.41
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.72 / $76.72 / $76.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.17 / $183.74 / $372.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.06 / $106.03 / $224.80
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.98 / $121.52 / $197.23
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.13 / $84.94 / $140.66
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.55 / $95.80 / $176.09
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.22 / $80.09 / $125.63
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.72 / $76.72 / $76.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.62 / $156.22 / $384.43
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.92 / $97.78 / $195.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.88 / $101.90 / $271.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.07 / $71.72 / $165.16
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.76 / $78.76 / $216.11
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.98 / $118.61 / $224.45
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.22 / $84.62 / $160.13