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Nebraska rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.89 / $730.89 / $771.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.89 / $730.89 / $4,353.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,785.97 / $3,664.32 / $7,087.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.11 / $1,461.30 / $1,497.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,312.32 / $4,312.32 / $4,312.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.00 / $1,710.26 / $2,321.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.89 / $1,388.69 / $5,563.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.79 / $1,405.31 / $4,811.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.59 / $1,548.29 / $2,343.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.00 / $1,551.10 / $2,010.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.26 / $631.62 / $1,474.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.80 / $1,405.31 / $1,801.68