go back

Idaho 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
$522.73 / $522.73 / $522.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.76 / $640.30 / $1,087.28
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.68 / $212.97 / $380.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.13 / $940.15 / $1,133.71
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$246.96 / $323.54 / $390.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.45 / $1,039.86 / $1,406.12
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$322.91 / $342.48 / $391.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $364.05 / $1,066.26
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,374.41 / $1,374.41 / $1,374.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.09 / $1,244.65 / $1,406.12
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$377.82 / $406.89 / $485.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.86 / $754.58 / $1,209.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$216.60 / $248.39 / $398.25