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Idaho rates for HCPCS 77761

Intracavitary radiation source application; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.24 / $1,076.24 / $1,076.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.33 / $761.43 / $761.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.86 / $1,533.18 / $1,831.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.69 / $643.24 / $737.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.56 / $701.11 / $837.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.69 / $725.13 / $986.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $302.52 / $749.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.35 / $1,402.18 / $2,019.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.00 / $866.53 / $986.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.72 / $516.09 / $808.67