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Maine rates for HCPCS 77772

Hdr Rdncl Ntrstl/Intrcav Brachytx >12 Channels

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.75 / $956.77 / $1,634.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.93 / $1,185.29 / $1,725.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.42 / $1,555.69 / $2,046.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,131.49 / $1,309.13 / $2,456.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$943.04 / $1,091.36 / $1,946.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.09 / $1,245.67 / $2,144.98