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Michigan 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
$234.42 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.54 / $213.80 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$257.04 / $257.04 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $912.01 / $977.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$323.59 / $323.59 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $741.31 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.82 / $251.19 / $446.68
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.49 / $389.05 / $436.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $1,023.29
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.91 / $199.53 / $354.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $707.95 / $1,318.26
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $251.19 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $933.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $229.09 / $323.59