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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
$812.83 / $933.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $794.33 / $1,230.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $2,818.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $691.83 / $1,148.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $467.74 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,230.27