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Missouri rates for HCPCS 77762

Intracavitary radiation source application; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.23 / $450.29 / $33,533.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.29 / $527.54 / $600.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,451.00 / $16,760.00 / $21,005.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.42 / $609.59 / $939.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.64 / $887.01 / $1,997.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.37 / $702.80 / $1,073.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.48 / $796.72 / $3,730.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.40 / $664.39 / $3,419.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.05 / $621.04 / $1,109.81