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Illinois rates for HCPCS 77772

Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels

Facilitymedian $661 · 10th–90th $263–$9120%10%20%10th90th$661Professionalmedian $933 · 10th–90th $427–$2,0420%5%10%10th90th$933$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $660.69 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $933.25 / $1,659.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $1,071.52 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,230.27 / $1,698.24
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,584.89 / $4,897.79
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$295.12 / $416.87 / $1,548.82
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,096.48 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,148.15 / $1,621.81