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New York 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
$68.75 / $104.96 / $262.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.39 / $404.28 / $623.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $366.02 / $915.22
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.34 / $407.24 / $511.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.69 / $83.69 / $83.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.60 / $523.26 / $1,187.69
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.90 / $460.17 / $749.47
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.82 / $376.70 / $678.09
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.69 / $83.69 / $83.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.60 / $529.63 / $1,147.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.67 / $415.18 / $1,010.77
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.95 / $78.95 / $107.72
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.88 / $473.60 / $921.13