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Oregon 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
$155.34 / $183.22 / $373.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.30 / $482.06 / $987.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.33 / $809.85 / $1,026.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.77 / $867.94 / $1,008.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$142.72 / $171.09 / $193.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.96 / $646.95 / $1,172.36
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$99.81 / $138.02 / $146.72
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.10 / $156.10 / $156.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.04 / $838.08 / $1,075.48
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$740.87 / $740.87 / $740.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.57 / $853.27 / $1,029.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.93 / $577.29 / $1,156.45