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Hawaii rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $660.69 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $660.69 / $1,584.89
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $616.60 / $1,071.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $870.96 / $1,258.93
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,202.26 / $1,659.59