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West Virginia 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
$81.67 / $89.83 / $89.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.73 / $332.01 / $418.17
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.67 / $91.73 / $116.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.05 / $240.27 / $301.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$116.54 / $116.54 / $116.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.06 / $424.23 / $1,635.47
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.69 / $134.69 / $483.30
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.37 / $289.54 / $1,152.17
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$152.04 / $152.54 / $230.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.27 / $326.10 / $625.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.45 / $118.68 / $216.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.52 / $232.01 / $409.01