go back

Illinois rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.27 / $1,230.02 / $2,411.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.94 / $727.27 / $1,230.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.89 / $1,345.22 / $6,368.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.16 / $1,071.39 / $1,808.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.70 / $841.37 / $2,715.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.36 / $1,013.43 / $1,537.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.55 / $1,205.69 / $2,862.75
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.82 / $965.24 / $1,044.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $461.57 / $1,093.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.03 / $904.99 / $1,545.11