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Arkansas rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.18 / $835.85 / $1,216.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.47 / $788.18 / $904.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.93 / $710.93 / $773.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.88 / $984.55 / $1,093.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.14 / $452.54 / $757.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.12 / $1,080.03 / $1,607.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.26 / $795.49 / $1,330.28