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Wisconsin 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

Facilitymedian $158 · 10th–90th $110–$3160%20%10th90th$158Professionalmedian $490 · 10th–90th $282–$1,5850%10%10th90th$490$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$109.65 / $109.65 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $380.19 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $537.03 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$194.98 / $229.09 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $1,000.00 / $1,905.46
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $851.14 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $707.95 / $2,290.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $954.99 / $1,659.59
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $870.96 / $1,659.59
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$173.78 / $173.78 / $457.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,737.80 / $2,290.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$245.47 / $245.47 / $245.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,238.72 / $3,090.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $660.69 / $1,548.82