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New Mexico 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
$52.99 / $52.99 / $117.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.92 / $377.09 / $436.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.07 / $131.72 / $423.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.53 / $500.76 / $604.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $72.13 / $423.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.53 / $500.76 / $604.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.55 / $467.66 / $786.05