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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
$203.29 / $203.29 / $347.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.64 / $608.35 / $1,029.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$176.50 / $202.26 / $318.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.86 / $1,274.79 / $1,506.17
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$389.23 / $417.28 / $492.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.28 / $1,029.33 / $1,617.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.15 / $345.95 / $523.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.44 / $1,148.68 / $3,771.72
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$205.71 / $375.55 / $1,240.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.44 / $1,062.63 / $1,529.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$205.71 / $355.79 / $507.84