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Hawaii rates for HCPCS 77761

Intracavitary radiation source application; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.83 / $520.01 / $611.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.66 / $274.66 / $274.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.64 / $306.77 / $611.78
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.39 / $250.16 / $585.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.17 / $543.79 / $634.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.67 / $611.78 / $674.57
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.40 / $595.64 / $1,012.02