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Wisconsin rates for HCPCS 77771

Hdr Rdncl Ntrstl/Intrcav Brachytx 2-12 Channel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$301.20 / $301.20 / $425.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.09 / $870.24 / $1,090.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$204.99 / $298.17 / $319.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.12 / $1,190.26 / $3,951.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.32 / $397.83 / $1,337.79
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$529.86 / $619.17 / $949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.44 / $2,707.31 / $3,076.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$259.06 / $895.18 / $1,017.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.05 / $1,399.58 / $3,771.72
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$226.63 / $477.08 / $1,240.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.12 / $382.59 / $1,114.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.17 / $1,449.03 / $2,574.94
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$915.88 / $915.88 / $915.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.89 / $2,916.10 / $3,771.72
Quartz
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$296.56 / $996.35 / $1,240.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.01 / $3,717.49 / $3,717.49
Security Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$566.41 / $666.37 / $920.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.05 / $1,331.72 / $2,634.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$226.63 / $473.92 / $885.55