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Tennessee rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.73 / $706.73 / $1,321.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.83 / $742.42 / $999.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.54 / $892.83 / $1,468.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.66 / $763.76 / $1,430.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.58 / $1,047.05 / $1,705.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,707.73 / $5,563.56 / $5,563.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,811.54 / $4,811.54 / $6,617.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.38 / $862.73 / $1,612.90