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Tennessee 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
$52.67 / $60.11 / $284.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.14 / $236.66 / $318.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.91 / $276.16 / $466.50
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.70 / $86.70 / $86.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.27 / $339.72 / $536.15
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$129.58 / $278.73 / $278.73
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,574.10 / $1,574.10 / $2,110.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.30 / $266.39 / $467.38