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North Dakota rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $812.83 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $758.58 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,659.59 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,905.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,148.15 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,380.38 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,380.38 / $1,995.26