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Wyoming 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
$53.82 / $53.82 / $55.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.84 / $242.84 / $251.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.00 / $922.00 / $922.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.97 / $338.23 / $854.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.18 / $445.17 / $734.07