go back

Kansas 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
$327.78 / $615.21 / $624.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.03 / $871.61 / $1,172.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.04 / $1,288.04 / $1,288.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.58 / $1,228.45 / $1,492.30
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$662.35 / $662.35 / $662.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.45 / $1,189.31 / $5,608.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.78 / $1,147.88 / $1,774.20