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South Carolina rates for HCPCS 77761

Intracavitary radiation source application; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,513.56 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $1,548.82 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $707.95
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $512.86 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,691.53 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $676.08