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Indiana rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.88 / $813.88 / $1,230.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.07 / $727.27 / $813.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.40 / $1,644.00 / $3,500.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.64 / $685.40 / $973.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.30 / $556.45 / $1,019.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.27 / $535.04 / $983.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.67 / $433.50 / $3,342.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.36 / $905.57 / $1,493.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.83 / $826.38 / $1,315.21