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Maine rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $794.33 / $1,778.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,348.96 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,380.38 / $1,862.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,174.90 / $2,290.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,047.13 / $1,949.84