go back

Arizona rates for HCPCS 77768

Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$251.19 / $316.23 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $380.19 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $630.96
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$173.78 / $338.84 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $457.09 / $2,290.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $457.09 / $602.56