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Idaho 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
$192.22 / $192.22 / $192.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.63 / $653.32 / $653.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.77 / $562.55 / $678.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.76 / $625.50 / $843.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $106.41 / $637.61
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$468.86 / $468.86 / $468.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.25 / $752.82 / $843.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.08 / $440.00 / $713.96