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Ohio 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
$94.65 / $136.13 / $334.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.74 / $351.89 / $627.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.57 / $102.65 / $171.24
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.15 / $241.02 / $426.90
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.79 / $99.18 / $99.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.08 / $367.48 / $558.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.35 / $117.72 / $176.31
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.72 / $247.26 / $376.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.96 / $239.76 / $346.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$160.07 / $160.07 / $160.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.83 / $423.01 / $735.07
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.28 / $134.19 / $226.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$211.83 / $287.93 / $508.38
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$160.07 / $160.07 / $160.07
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.62 / $426.47 / $706.05
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$98.28 / $136.13 / $258.54
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$210.62 / $290.38 / $486.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.96 / $257.84 / $442.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.02 / $371.73 / $637.99
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.88 / $117.84 / $201.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.36 / $256.08 / $442.56