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Virginia 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
$66.07 / $125.89 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $478.63 / $676.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $457.09 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $478.63 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $489.78 / $537.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $97.72 / $102.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $154.88 / $154.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $398.11 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $436.52 / $741.31