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North Carolina 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
$100.90 / $142.03 / $224.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.74 / $330.97 / $590.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.57 / $100.90 / $263.82
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.15 / $230.07 / $426.90
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.54 / $128.87 / $170.60
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.57 / $200.70 / $283.27
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.02 / $384.42 / $591.10
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.54 / $116.54 / $116.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.06 / $497.05 / $869.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.80 / $160.13 / $275.27
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.37 / $342.81 / $592.72
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$162.90 / $229.59 / $304.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.00 / $276.00 / $403.00
Medcost
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$309.83 / $309.83 / $309.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.78 / $335.79 / $522.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.99 / $416.68 / $883.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.32 / $144.53 / $279.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.01 / $283.75 / $601.16
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$240.70 / $240.70 / $517.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,193.48 / $2,193.48 / $2,933.78
Wellcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$640.52 / $640.52 / $837.45
Wellcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,552.95 / $1,552.95 / $2,096.33