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West Virginia 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
$157.69 / $173.45 / $173.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.18 / $575.26 / $729.16
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$157.69 / $179.62 / $428.42
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$226.99 / $226.99 / $226.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.69 / $746.81 / $2,864.09
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$213.56 / $263.33 / $943.27
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$283.05 / $283.05 / $283.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.40 / $853.48 / $1,166.42
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.12 / $231.24 / $421.68