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Maryland 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
$87.81 / $87.82 / $125.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.74 / $332.01 / $803.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.82 / $91.73 / $235.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.15 / $240.27 / $581.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.28 / $380.28 / $499.69
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.07 / $112.07 / $147.26
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$268.20 / $268.20 / $352.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.80 / $423.36 / $952.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.19 / $122.24 / $271.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.50 / $299.77 / $678.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.02 / $468.30 / $791.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.96 / $135.40 / $219.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.06 / $332.90 / $569.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.36 / $377.53 / $603.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.62 / $108.55 / $181.53
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.31 / $240.57 / $421.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.95 / $413.18 / $514.61
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.65 / $120.70 / $144.25
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.31 / $291.36 / $370.37