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Idaho rates for HCPCS 77762

Intracavitary radiation source application; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.14 / $1,421.14 / $1,421.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.54 / $1,005.48 / $1,005.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.86 / $1,533.18 / $1,831.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.38 / $851.09 / $975.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.85 / $986.11 / $1,106.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.32 / $953.82 / $1,301.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $348.29 / $989.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$869.35 / $1,402.18 / $2,019.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.32 / $1,138.47 / $1,301.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.08 / $656.54 / $1,069.84