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Vermont 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
Professional
Modifier
Low / Median / High Price
$374.02 / $374.02 / $374.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.69 / $497.47 / $1,545.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.69 / $497.96 / $1,545.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.69 / $514.51 / $844.20