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Washington, DC 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
$49.50 / $49.50 / $356.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.66 / $240.40 / $240.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.14 / $268.14 / $621.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.24 / $362.33 / $1,182.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.04 / $595.16 / $595.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.78 / $122.61 / $122.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.97 / $553.20 / $843.81