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South Carolina 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
$45.71 / $45.71 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $251.19 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $316.23 / $467.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $269.15 / $398.11