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Ohio rates for HCPCS 77761

Intracavitary radiation source application; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.11 / $649.51 / $1,268.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.11 / $380.11 / $688.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.08 / $370.90 / $603.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.20 / $285.69 / $578.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.73 / $216.83 / $428.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.08 / $1,815.40 / $2,441.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.43 / $508.40 / $887.23
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.08 / $1,815.40 / $2,441.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.72 / $506.31 / $869.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.75 / $289.29 / $559.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.89 / $446.92 / $780.02