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Missouri rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,454.71 / $3,548.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,258.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $16,595.87 / $20,892.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $870.96 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $257.04 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $933.25 / $1,318.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,071.52 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,479.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,258.93 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $537.03 / $1,862.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,479.11