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Kentucky 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
$192.36 / $192.36 / $247.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.82 / $580.76 / $863.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.68 / $192.36 / $302.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.12 / $528.51 / $782.81
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$178.96 / $184.33 / $257.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.56 / $308.43 / $751.18
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$226.99 / $226.99 / $226.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.57 / $810.62 / $1,227.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$209.91 / $285.20 / $429.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $590.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.08 / $612.44 / $855.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$183.27 / $213.30 / $295.25