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Nebraska 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
$98.06 / $99.92 / $294.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.04 / $323.04 / $1,328.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.06 / $175.29 / $235.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.98 / $224.98 / $224.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.57 / $643.01 / $659.10
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.24 / $193.72 / $198.56
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$420.36 / $449.31 / $460.55
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$571.62 / $571.62 / $571.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.00 / $746.48 / $1,029.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$143.66 / $237.65 / $298.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$329.00 / $525.89 / $731.10
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$469.26 / $469.26 / $469.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.70 / $615.07 / $2,193.48
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.70 / $197.01 / $640.52
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$248.00 / $418.06 / $1,552.95
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$312.92 / $322.04 / $571.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.59 / $728.96 / $922.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.24 / $266.00 / $640.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.50 / $607.80 / $788.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.70 / $197.01 / $252.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.26 / $418.06 / $535.97