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Kentucky 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
$263.03 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $812.83 / $1,174.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $436.52
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.18 / $323.59 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $1,348.96 / $4,265.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $912.01 / $1,348.96