go back

Idaho rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,019.47 / $2,019.47 / $2,019.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.33 / $1,419.96 / $1,419.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.97 / $2,004.60 / $2,391.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.70 / $1,200.07 / $1,375.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.66 / $1,400.12 / $1,561.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.18 / $1,354.59 / $1,839.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $576.50 / $1,406.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$989.80 / $1,707.83 / $2,513.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.14 / $1,608.38 / $1,839.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.20 / $926.78 / $1,508.99