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Massachusetts rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.65 / $557.94 / $804.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.65 / $663.69 / $1,013.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.35 / $1,707.73 / $1,975.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.61 / $1,030.79 / $4,811.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.77 / $1,359.54 / $2,381.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.36 / $1,405.25 / $2,484.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.00 / $1,455.12 / $2,557.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.54 / $586.42 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.57 / $688.19 / $1,313.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.17 / $1,781.66 / $2,467.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,707.73 / $5,563.56 / $5,563.56
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.88 / $1,043.08 / $4,811.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.29 / $928.93 / $1,796.55