go back

Texas rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.44 / $565.83 / $7,219.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.44 / $591.29 / $1,161.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.00 / $938.99 / $1,534.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.57 / $830.53 / $1,070.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.78 / $743.96 / $786.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.77 / $1,220.13 / $2,685.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.37 / $851.14 / $1,453.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,702.89 / $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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.13 / $817.37 / $1,475.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.70 / $1,277.18 / $1,706.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.48 / $653.22 / $1,275.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.95 / $850.78 / $1,670.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.37 / $870.91 / $1,498.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.89 / $838.57 / $1,262.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.63 / $746.70 / $1,050.91