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Virginia rates for HCPCS 77761

Intracavitary radiation source application; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.52 / $359.52 / $1,039.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.52 / $367.48 / $510.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,297.82 / $1,639.75 / $2,141.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.31 / $486.21 / $681.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.09 / $419.09 / $1,043.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.63 / $514.09 / $1,430.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.18 / $477.54 / $1,006.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.17 / $567.53 / $596.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.00 / $530.29 / $725.92
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.00 / $324.50 / $587.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.11 / $336.71 / $761.69
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.30 / $408.27 / $900.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.82 / $469.10 / $701.88