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New York 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
$51.91 / $79.14 / $197.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.73 / $271.04 / $426.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.33 / $233.12 / $614.40
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.34 / $267.92 / $346.27
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
$228.20 / $339.06 / $769.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.01 / $295.52 / $510.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.83 / $240.31 / $463.05
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.66 / $62.66 / $62.66
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.65 / $341.77 / $758.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.23 / $259.89 / $587.80
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.16 / $59.16 / $81.26
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.35 / $323.41 / $629.02