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Hawaii rates for HCPCS 77762

Intracavitary radiation source application; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $680.00 / $800.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.38 / $362.38 / $362.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.99 / $460.88 / $800.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.42 / $351.27 / $767.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.59 / $711.11 / $829.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.69 / $800.00 / $887.70
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.45 / $855.79 / $1,331.98