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Washington, DC 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
$177.83 / $177.83 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.54 / $239.88 / $489.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $3,235.94 / $4,168.69
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $213.80 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $616.60 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.18 / $208.93 / $870.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $776.25 / $1,445.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$208.93 / $245.47 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $741.31 / $2,041.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $239.88 / $630.96