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West Virginia rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.77 / $584.77 / $584.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.77 / $724.36 / $724.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.16 / $890.16 / $890.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.75 / $999.12 / $3,730.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.20 / $729.60 / $1,679.86