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Connecticut 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
$109.65 / $331.13 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $371.54 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $562.34 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $537.03 / $870.96
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $457.09 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $851.14