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Nebraska rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $831.76 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,090.30 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,412.54 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,778.28 / $2,398.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,096.48 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,071.52 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,698.24 / $2,691.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $912.01 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $1,862.09