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Maine 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
Professional
Modifier
Low / Median / High Price
$233.08 / $253.63 / $253.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.25 / $324.70 / $476.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.82 / $404.95 / $573.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.97 / $358.64 / $672.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.08 / $253.63 / $457.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.63 / $369.27 / $607.24