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Missouri rates for HCPCS 77772

Hdr Rdncl Ntrstl/Intrcav Brachytx >12 Channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$232.27 / $379.66 / $624.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.51 / $871.61 / $2,470.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.21 / $1,030.26 / $1,679.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.94 / $1,228.45 / $1,896.23
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$662.35 / $1,291.31 / $1,291.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.88 / $1,090.73 / $5,608.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.88 / $1,083.97 / $2,016.38