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Washington 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
$100.15 / $189.44 / $348.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.74 / $368.72 / $785.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.57 / $102.65 / $212.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.15 / $268.57 / $537.14
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.42 / $203.34 / $204.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.90 / $469.26 / $1,374.41
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.85 / $814.48 / $3,009.98
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.38 / $239.46 / $848.48
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$331.25 / $575.02 / $2,161.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.46 / $700.65 / $1,134.99
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.46 / $206.52 / $325.64
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.08 / $492.37 / $809.90
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.55 / $231.19 / $2,160.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.79 / $726.74 / $931.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.43 / $220.40 / $273.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.36 / $495.91 / $667.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.45 / $296.35 / $712.29
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$139.65 / $196.98 / $204.35
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.43 / $323.43 / $347.03
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.41 / $167.75 / $204.35
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$292.66 / $407.00 / $495.80
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$135.90 / $135.90 / $139.38
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.16 / $796.60 / $948.17
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$156.16 / $232.50 / $276.85
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$375.00 / $564.10 / $672.05
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,374.41 / $1,374.41 / $2,406.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.85 / $715.83 / $938.62
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.60 / $208.93 / $273.95
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$331.25 / $506.90 / $664.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.49 / $437.99 / $942.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.84 / $135.01 / $277.17
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$277.94 / $296.38 / $632.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.38 / $401.38 / $401.38
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.34 / $110.34 / $110.34
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$291.04 / $291.04 / $291.04