go back

Kentucky 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
$53.03 / $53.03 / $68.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.11 / $224.61 / $257.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.67 / $208.75 / $310.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.34 / $85.14 / $332.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.66 / $62.66 / $62.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.06 / $305.35 / $458.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $239.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.88 / $232.14 / $327.68