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Pennsylvania 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
$117.49 / $269.15 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $354.81 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.11 / $109.65 / $302.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.98 / $245.47 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $91.20 / $104.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $354.81 / $575.44
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.33 / $107.15 / $186.21
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $245.47 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $123.03 / $199.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $275.42 / $436.52
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $478.63 / $588.84
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $134.90 / $165.96
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.23 / $338.84 / $426.58
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $407.38 / $660.69
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $125.89 / $213.80
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.96 / $288.40 / $446.68
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.71 / $114.82 / $154.88
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $223.87 / $398.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $446.68 / $933.25
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $144.54 / $295.12
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $316.23 / $676.08
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $630.96 / $676.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $109.65 / $109.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $354.81 / $549.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $100.00 / $109.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.87 / $229.09 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $371.54 / $630.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $117.49 / $194.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $263.03 / $436.52