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Nebraska 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
$70.56 / $71.56 / $210.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.60 / $337.60 / $337.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.97 / $673.36 / $690.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$410.16 / $410.16 / $410.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.33 / $797.65 / $1,086.95
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$336.07 / $336.07 / $336.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.98 / $654.01 / $2,295.51
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$223.96 / $230.49 / $410.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.13 / $786.35 / $971.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.56 / $317.36 / $671.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.98 / $673.70 / $815.33