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West Virginia rates for HCPCS 77762

Intracavitary Radiation Source Applic Intermed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.81 / $413.81 / $413.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.81 / $515.22 / $515.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.79 / $626.79 / $626.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.46 / $688.75 / $2,627.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.16 / $514.09 / $863.75