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Massachusetts 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
$40.36 / $40.36 / $150.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.15 / $228.93 / $316.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.63 / $130.07 / $278.73
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.17 / $341.86 / $904.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.95 / $485.74 / $851.08
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.12 / $282.77 / $473.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.02 / $559.89 / $775.29
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.58 / $129.58 / $278.73
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.39 / $351.86 / $1,574.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.52 / $349.85 / $775.29