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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
$764.33 / $764.33 / $1,378.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.42 / $764.33 / $805.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.57 / $1,650.49 / $1,946.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.51 / $1,286.06 / $1,857.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.33 / $1,013.75 / $1,918.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.32 / $1,410.64 / $4,811.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.70 / $1,334.74 / $1,916.10