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Pennsylvania rates for HCPCS 77762

Intracavitary Radiation Source Applic Intermed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.88 / $1,007.71 / $1,867.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.31 / $513.07 / $736.74
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.96 / $570.71 / $936.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.20 / $848.93 / $1,865.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.01 / $615.40 / $967.57
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.91 / $708.17 / $861.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.83 / $1,016.91 / $1,880.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.31 / $531.13 / $2,128.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.13 / $576.50 / $1,056.68
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.24 / $834.75 / $1,865.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.40 / $629.41 / $985.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.63 / $531.29 / $531.29
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.63 / $531.29 / $567.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.51 / $580.77 / $970.47