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Nebraska 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
$52.96 / $53.82 / $158.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.54 / $231.54 / $906.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.35 / $460.00 / $471.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$307.74 / $307.74 / $307.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.00 / $535.15 / $738.85
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$252.81 / $252.81 / $252.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.68 / $436.00 / $1,574.10
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$169.07 / $174.00 / $307.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.15 / $519.75 / $657.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.37 / $210.67 / $457.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.31 / $448.46 / $558.98