go back

Indiana 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
$59.06 / $59.06 / $87.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.46 / $233.23 / $257.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.67 / $310.32 / $428.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.13 / $190.90 / $304.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.80 / $288.50 / $409.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.47 / $257.95 / $426.19