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Maryland rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.04 / $678.04 / $678.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.04 / $724.36 / $935.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.57 / $780.63 / $1,025.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.69 / $904.89 / $2,122.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.89 / $994.52 / $1,534.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.46 / $772.32 / $1,628.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.09 / $941.53 / $1,149.80