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Rhode Island 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
$451.43 / $451.43 / $451.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.16 / $341.22 / $398.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.52 / $444.00 / $751.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.50 / $737.16 / $1,043.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.23 / $459.77 / $613.02