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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
$102.33 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $363.08 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.20 / $112.20 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $257.04 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,348.96 / $1,348.96
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$208.93 / $398.11 / $398.11
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$501.19 / $933.25 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $524.81 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $165.96 / $371.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.40 / $363.08 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $588.84 / $1,023.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $181.97 / $316.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $407.38 / $707.95