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Arkansas rates for HCPCS 77767

Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.44 / $59.44 / $89.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.45 / $232.76 / $232.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.74 / $285.54 / $317.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.76 / $323.24 / $454.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.61 / $256.44 / $404.25