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Arkansas rates for HCPCS 77771

Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.80 / $302.00 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $630.96 / $758.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $213.80 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$331.13 / $331.13 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $645.65 / $831.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$199.53 / $229.09 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$213.80 / $316.23 / $436.52
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$380.19 / $380.19 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $1,071.52
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$177.83 / $223.87 / $371.54