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Massachusetts rates for HCPCS 77762

Intracavitary Radiation Source Applic Intermed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.83 / $408.83 / $567.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.83 / $479.66 / $721.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.20 / $1,148.53 / $1,403.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.02 / $732.05 / $3,419.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$533.86 / $1,002.89 / $1,756.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.36 / $1,323.70 / $2,484.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.00 / $1,019.18 / $1,819.05
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.23 / $445.44 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.20 / $484.00 / $927.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.18 / $1,254.54 / $1,737.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.68 / $5,563.56 / $5,563.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.41 / $741.42 / $3,419.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.41 / $708.99 / $1,432.65