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Iowa 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
$68.37 / $68.37 / $68.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.34 / $358.61 / $906.40
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$164.15 / $169.07 / $174.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.17 / $591.08 / $738.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.25 / $339.06 / $968.44
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.08 / $79.29 / $218.99
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$169.07 / $169.07 / $169.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.08 / $335.57 / $851.38
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$169.07 / $174.00 / $307.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.05 / $519.75 / $792.55
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.88 / $230.86 / $417.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.08 / $291.32 / $915.75
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.09 / $463.40 / $545.20