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Alabama rates for HCPCS 77770

Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$173.72 / $173.72 / $173.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.42 / $343.67 / $557.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.92 / $102.65 / $173.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.51 / $241.02 / $383.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.62 / $324.14 / $382.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.18 / $101.61 / $119.90
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.44 / $222.53 / $262.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.14 / $380.96 / $1,004.05
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.78 / $126.51 / $333.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$210.77 / $254.44 / $671.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.22 / $343.21 / $428.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.45 / $106.10 / $135.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.12 / $218.14 / $293.39