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Arizona 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
$272.95 / $660.31 / $825.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.36 / $627.83 / $1,090.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$176.50 / $199.84 / $318.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.42 / $636.34 / $1,268.69
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$204.58 / $209.82 / $418.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.67 / $750.67 / $1,157.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$168.56 / $252.43 / $383.71
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$468.94 / $915.88 / $915.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.67 / $777.10 / $3,771.72
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$210.90 / $259.02 / $1,240.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.67 / $765.55 / $1,123.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$210.90 / $257.14 / $377.23