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Connecticut 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
$73.66 / $216.48 / $349.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.15 / $316.31 / $377.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.02 / $362.27 / $422.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.72 / $331.96 / $600.77
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.99 / $292.70 / $306.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.84 / $342.57 / $580.21