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Wyoming rates for HCPCS 77763

Intracavitary radiation source application; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.48 / $771.48 / $798.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.48 / $771.48 / $773.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,975.00 / $3,245.00 / $3,245.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.02 / $957.49 / $1,938.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.24 / $1,284.01 / $2,316.96