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Ohio rates for HCPCS 77762

Intracavitary radiation source application; intermediate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.51 / $863.40 / $1,685.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.51 / $501.51 / $907.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.63 / $535.57 / $841.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.46 / $337.04 / $763.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.61 / $316.14 / $565.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.49 / $1,815.40 / $2,441.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.75 / $679.49 / $1,250.52
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$805.49 / $1,815.40 / $2,441.50
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.17 / $679.13 / $1,152.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.34 / $387.97 / $734.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.53 / $571.70 / $1,029.13