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Missouri 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
$165.06 / $268.42 / $441.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.91 / $580.76 / $1,330.77
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.06 / $194.11 / $448.67
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$153.94 / $259.77 / $306.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.05 / $680.32 / $1,129.76
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$196.17 / $239.56 / $398.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.25 / $804.66 / $1,275.51
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.53 / $277.00 / $427.19
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$468.94 / $915.88 / $915.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.11 / $724.46 / $3,771.72
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$195.18 / $243.83 / $1,240.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.78 / $720.07 / $1,233.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$195.18 / $238.32 / $411.42