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North Carolina 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
$54.17 / $76.68 / $121.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.04 / $236.43 / $236.43
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
$235.30 / $352.28 / $613.00
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.02 / $134.15 / $164.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $213.00 / $282.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.89 / $280.58 / $373.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.02 / $320.14 / $640.83
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.58 / $129.58 / $278.73
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.10 / $1,574.10 / $2,110.94