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Wyoming 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
$99.92 / $99.92 / $102.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.71 / $338.71 / $351.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.92 / $103.38 / $686.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.79 / $247.85 / $1,488.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.00 / $1,282.00 / $1,282.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$210.00 / $377.00 / $377.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$505.00 / $905.00 / $905.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.34 / $486.97 / $1,198.94
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$133.29 / $161.24 / $369.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$289.05 / $320.70 / $829.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.48 / $570.60 / $1,029.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.27 / $182.28 / $318.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$264.20 / $394.20 / $711.33