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Indiana rates for HCPCS 77762

Intracavitary Radiation Source Applic Intermed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.85 / $575.85 / $866.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.21 / $515.85 / $575.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.40 / $1,644.00 / $3,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.63 / $484.40 / $687.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.03 / $369.80 / $717.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.79 / $355.58 / $692.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.74 / $329.90 / $2,555.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.76 / $638.28 / $1,079.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.77 / $558.79 / $930.10