go back

New Jersey rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.94 / $675.94 / $2,991.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.50 / $710.09 / $928.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.51 / $1,168.99 / $6,958.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.23 / $918.11 / $1,661.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.18 / $1,093.29 / $1,093.29
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,406.18 / $1,686.79 / $3,425.77
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.35 / $643.37 / $936.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.86 / $780.77 / $1,472.82