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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
$602.56 / $912.01 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $741.31 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $851.14 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,047.13 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,148.15