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Idaho rates for HCPCS 77772

Hdr Rdncl Ntrstl/Intrcav Brachytx >12 Channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$737.58 / $737.58 / $737.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.75 / $1,540.88 / $1,613.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.90 / $1,403.73 / $1,692.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.05 / $1,553.84 / $2,091.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $513.66 / $1,592.47
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,374.41 / $1,374.41 / $1,374.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.63 / $1,858.41 / $2,091.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.28 / $1,152.90 / $1,848.39