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Indiana 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
$78.75 / $78.75 / $116.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.04 / $345.86 / $377.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.35 / $485.27 / $662.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.89 / $327.94 / $447.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.86 / $435.80 / $640.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $403.34 / $620.48