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Oklahoma 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
$44.75 / $44.75 / $80.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.12 / $221.68 / $245.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.89 / $211.42 / $319.91
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.58 / $252.81 / $252.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.99 / $271.29 / $508.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.75 / $264.27 / $371.81