go back

Ohio 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
$67.97 / $121.53 / $242.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.43 / $330.92 / $587.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.83 / $397.21 / $601.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.62 / $286.52 / $363.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.80 / $115.80 / $115.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.39 / $458.58 / $763.79
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.80 / $115.80 / $115.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.31 / $460.05 / $739.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.35 / $316.24 / $502.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.05 / $396.14 / $713.33