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Indiana rates for HCPCS 77772

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$301.29 / $301.29 / $447.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.76 / $888.76 / $938.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.16 / $1,263.26 / $1,793.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.27 / $702.33 / $1,116.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.97 / $1,111.95 / $1,789.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.13 / $1,014.70 / $1,632.76