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Oklahoma rates for HCPCS 77761

Intracavitary Radiation Source Applic Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.82 / $323.08 / $611.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.64 / $380.11 / $410.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.70 / $220.70 / $220.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.77 / $363.08 / $555.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.39 / $455.31 / $1,219.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.68 / $423.25 / $3,136.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.30 / $410.22 / $619.30