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Mississippi rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $607.03 / $1,228.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.03 / $1,179.18 / $1,228.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.45 / $298.45 / $298.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.00 / $1,114.00 / $1,114.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.41 / $334.64 / $688.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.09 / $974.88 / $1,317.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.86 / $816.96 / $1,305.40