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Oklahoma rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.96 / $602.61 / $1,150.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.06 / $710.09 / $758.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.88 / $330.88 / $330.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.79 / $683.64 / $984.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.31 / $848.61 / $1,462.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.47 / $806.24 / $4,811.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.86 / $806.24 / $980.85