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North Dakota 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 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $602.56 / $954.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.78 / $204.17 / $338.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,258.93 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$354.81 / $416.87 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.78 / $338.84 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,148.15 / $3,801.89
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$204.17 / $371.54 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,122.02 / $1,584.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $371.54 / $524.81