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Minnesota rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.00 / $805.55 / $805.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.55 / $805.55 / $1,419.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$931.80 / $2,367.08 / $8,225.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.55 / $1,964.87 / $2,754.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,979.32 / $2,806.92 / $6,752.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.09 / $1,542.99 / $2,550.76
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,558.52 / $2,566.19 / $5,316.88
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.96 / $1,281.75 / $2,231.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.72 / $1,361.38 / $2,129.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.20 / $1,410.64 / $2,900.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.56 / $1,392.39 / $2,571.27