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California rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.91 / $2,264.00 / $16,288.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.61 / $734.67 / $4,353.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.87 / $934.00 / $4,057.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.48 / $891.42 / $1,851.04
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.30 / $395.92 / $1,817.66
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.28 / $728.25 / $1,782.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.21 / $1,275.50 / $3,359.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.78 / $901.49 / $2,108.28
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.48 / $989.59 / $1,335.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.66 / $1,004.33 / $1,860.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,707.73 / $5,563.56 / $5,563.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,811.54 / $4,811.54 / $6,617.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.61 / $978.47 / $1,594.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.29 / $950.12 / $2,072.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,505.26 / $2,505.26 / $2,505.26
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.14 / $1,100.20 / $1,611.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.49 / $634.49 / $1,491.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.50 / $965.40 / $2,228.51