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North Dakota 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
$56.45 / $56.45 / $96.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.46 / $242.83 / $261.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.81 / $526.19 / $621.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.68 / $388.07 / $665.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.69 / $448.46 / $1,574.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.69 / $448.46 / $611.04