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Oklahoma rates for HCPCS 77762

Intracavitary Radiation Source Applic Intermed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.72 / $426.74 / $808.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.92 / $501.51 / $539.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.32 / $253.32 / $253.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.60 / $484.95 / $733.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.58 / $579.04 / $1,219.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.81 / $571.76 / $3,419.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.70 / $567.62 / $820.68