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Missouri 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
$60.76 / $99.43 / $163.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.06 / $345.84 / $381.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.80 / $397.59 / $685.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.73 / $472.56 / $773.65
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.46 / $336.07 / $336.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.37 / $432.52 / $2,295.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.37 / $439.00 / $779.55