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Rhode Island rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.47 / $673.91 / $785.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.49 / $1,446.37 / $1,607.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.31 / $956.62 / $1,517.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,439.58 / $2,138.90 / $3,760.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.48 / $1,541.96 / $2,179.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.00 / $961.72 / $1,282.29