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Kansas rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,737.80 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $954.99 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $812.83 / $1,258.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $933.25 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $524.81 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $794.33 / $1,230.27