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Maine rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.31 / $798.66 / $798.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.15 / $1,351.12 / $2,217.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.02 / $1,033.29 / $1,492.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.84 / $1,298.56 / $1,760.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$986.39 / $1,141.25 / $2,141.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.31 / $798.66 / $1,447.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.07 / $1,018.25 / $1,594.67