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Massachusetts rates for HCPCS 77762

Intracavitary radiation source application; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $562.34 / $2,137.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,148.15 / $5,623.41
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $3,388.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $912.01 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $1,659.59
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $478.63 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $1,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,513.56
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,148.15 / $5,623.41
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $645.65 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $1,000.00 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,584.89