go back

Vermont rates for HCPCS 77763

Intracavitary Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.76 / $727.76 / $727.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,968.81 / $3,968.81 / $3,968.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.58 / $1,052.60 / $3,279.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.58 / $1,052.60 / $3,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.24 / $990.12 / $3,488.00