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North Carolina rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.88 / $739.61 / $1,144.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.20 / $739.61 / $739.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.16 / $890.16 / $911.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.78 / $1,067.74 / $1,906.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.61 / $965.33 / $1,896.52
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $566.00 / $926.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.42 / $708.52 / $1,286.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.13 / $917.55 / $1,995.60
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.89 / $1,707.73 / $5,563.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,811.54 / $4,811.54 / $6,617.55