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Minnesota 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
$104.90 / $104.90 / $104.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.87 / $363.57 / $627.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.86 / $104.90 / $213.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.01 / $251.86 / $347.94
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.40 / $88.40 / $88.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.94 / $866.43 / $1,225.89
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.90 / $250.18 / $357.80
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$405.03 / $619.25 / $868.09
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$254.36 / $360.72 / $867.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.35 / $684.49 / $1,131.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$157.87 / $198.51 / $328.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$386.48 / $485.97 / $803.37
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$200.29 / $329.78 / $683.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.97 / $568.59 / $990.10
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$156.31 / $164.90 / $287.14
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$382.66 / $403.69 / $702.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.85 / $629.46 / $1,227.41
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.32 / $192.92 / $378.37
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.52 / $436.54 / $853.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.45 / $612.29 / $1,142.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.35 / $190.98 / $343.22
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.52 / $426.80 / $766.91