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Maryland 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
$63.10 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $630.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $380.19 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $407.38 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $436.52 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.13 / $85.11 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $363.08 / $660.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $602.56