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Vermont 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
Professional
Modifier
Low / Median / High Price
$340.22 / $340.22 / $343.67
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.65 / $106.31 / $106.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.91 / $233.91 / $241.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.66 / $388.66 / $1,470.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.91 / $463.04 / $1,470.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.53 / $138.71 / $430.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.68 / $326.51 / $531.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.91 / $463.04 / $1,470.86
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.53 / $140.15 / $430.14
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.68 / $326.51 / $665.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.68 / $480.73 / $1,564.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.80 / $147.22 / $457.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.85 / $318.61 / $568.38