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West 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
$58.47 / $58.47 / $58.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.61 / $351.81 / $351.81
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.69 / $83.69 / $83.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.12 / $442.65 / $1,722.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.63 / $407.68 / $676.02