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Minnesota 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
$204.17 / $204.17 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $977.24
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.96 / $208.93 / $512.86
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$151.36 / $173.78 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $2,187.76
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$331.13 / $478.63 / $724.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$524.81 / $741.31 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$309.03 / $389.05 / $630.96
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$575.44 / $724.44 / $1,380.38
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $1,479.11
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$302.00 / $302.00 / $478.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,122.02 / $2,187.76
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$223.87 / $371.54 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,148.15 / $2,041.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$239.88 / $380.19 / $676.08