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Texas 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
$37.22 / $40.65 / $71.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.66 / $200.47 / $371.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.55 / $183.17 / $281.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.88 / $269.94 / $454.20
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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.71 / $401.36 / $555.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.20 / $243.03 / $408.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.88 / $275.57 / $460.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.75 / $292.68 / $384.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.61 / $231.71 / $330.41