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New Hampshire 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

Facilitymedian $85 · 10th–90th $42–$850%50%10th$85Professionalmedian $316 · 10th–90th $219–$6610%10%10th90th$316$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $239.88 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $354.81 / $758.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $501.19 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $331.13 / $831.76
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$41.69 / $41.69 / $41.69