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Connecticut rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,122.02 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $2,187.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $891.25 / $2,344.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,148.15 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $1,202.26 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $1,862.09
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $794.33 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,000.00 / $1,737.80