go back

Maine 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
Professional
Modifier
Low / Median / High Price
$365.81 / $380.59 / $380.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.43 / $477.13 / $698.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.95 / $629.23 / $836.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.48 / $526.99 / $988.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.13 / $380.59 / $672.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.23 / $478.59 / $853.24