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Kentucky rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.83 / $721.49 / $721.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.07 / $721.49 / $813.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.26 / $701.48 / $1,064.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.37 / $596.91 / $1,035.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.65 / $478.43 / $959.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.94 / $890.16 / $890.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.61 / $1,037.40 / $2,348.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $785.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.17 / $735.86 / $1,142.00