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North Carolina 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
$276.04 / $276.04 / $619.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.89 / $847.47 / $1,540.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$320.77 / $320.77 / $320.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.48 / $1,412.62 / $2,396.82
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$447.11 / $685.08 / $834.79
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.00 / $794.00 / $1,146.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.26 / $897.05 / $1,416.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.52 / $1,302.81 / $2,360.42
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$662.35 / $662.35 / $1,421.72
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,608.27 / $5,608.27 / $7,678.80