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Massachusetts 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
$53.52 / $53.52 / $200.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.39 / $359.84 / $497.23
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.25 / $173.56 / $370.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.10 / $513.82 / $1,339.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.16 / $744.25 / $1,245.04
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $423.42 / $695.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.61 / $806.42 / $1,139.22
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.46 / $172.46 / $370.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $549.57 / $2,295.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.95 / $492.41 / $884.96