go back

Missouri rates for HCPCS 77761

Intracavitary Radiation Source Applic Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.49 / $342.39 / $33,533.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.39 / $400.93 / $455.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,451.00 / $16,760.00 / $21,005.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.38 / $453.76 / $695.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.03 / $770.51 / $1,997.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.41 / $520.84 / $815.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.93 / $600.54 / $3,730.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.94 / $486.16 / $3,136.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.48 / $484.13 / $835.99