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Alaska rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,205.67 / $2,205.67 / $2,205.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,526.32 / $2,526.32 / $4,353.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.62 / $2,067.62 / $2,439.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,612.64 / $3,612.64 / $3,612.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,014.60 / $2,322.15 / $4,187.75
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,670.00 / $3,169.80 / $6,514.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,461.06 / $3,461.06 / $3,612.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,473.42 / $2,935.00 / $5,874.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.08 / $2,927.25 / $11,166.87