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Rhode Island rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $2,187.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,479.11 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,137.96 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,584.89 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $1,445.44 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,288.25