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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
$181.97 / $263.03 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $323.59 / $1,047.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $338.84 / $1,122.02