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New Jersey 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
$51.90 / $51.91 / $221.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.75 / $228.93 / $290.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.24 / $298.94 / $534.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.14 / $351.31 / $351.31
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.27 / $247.78 / $361.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.73 / $244.69 / $482.15