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Connecticut 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
$295.12 / $891.25 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.78 / $251.19 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $954.99 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.55 / $316.23 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,445.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$229.09 / $281.84 / $457.09
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $776.25 / $831.76
ConnectiCare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.78 / $234.42 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $812.83 / $1,380.38
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.18 / $263.03 / $446.68