go back

North Dakota 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
$75.22 / $75.22 / $127.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.42 / $364.63 / $382.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.91 / $771.04 / $911.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.25 / $606.30 / $978.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.67 / $679.17 / $2,295.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.67 / $643.42 / $918.18