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Vermont rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $812.83 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $3,311.31
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $3,467.37