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Maine rates for HCPCS 77762

Intracavitary Radiation Source Applic Intermed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.11 / $565.87 / $565.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.78 / $1,050.86 / $1,724.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.95 / $727.58 / $1,056.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.96 / $923.98 / $1,250.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.56 / $803.61 / $1,507.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.11 / $565.87 / $1,020.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.81 / $717.81 / $1,268.60