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Vermont 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
Professional
Modifier
Low / Median / High Price
$238.55 / $238.55 / $238.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.26 / $331.96 / $1,058.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.26 / $331.96 / $1,058.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.84 / $342.72 / $1,126.08