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Rhode Island 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
$340.06 / $340.06 / $340.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.45 / $220.11 / $254.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.83 / $302.12 / $479.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.70 / $491.61 / $714.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.86 / $310.00 / $585.02