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Arizona rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.91 / $820.48 / $4,353.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.55 / $1,114.80 / $1,766.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.37 / $829.10 / $1,653.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.38 / $1,684.72 / $2,216.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.26 / $900.21 / $1,419.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.01 / $911.65 / $1,730.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.07 / $940.57 / $4,811.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.07 / $927.78 / $1,235.71