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Missouri 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
$45.50 / $74.45 / $122.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.74 / $236.86 / $267.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.78 / $259.01 / $444.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.73 / $312.58 / $530.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.58 / $252.81 / $252.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.74 / $286.86 / $1,574.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.74 / $284.20 / $491.58