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North Dakota 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
$287.35 / $287.35 / $490.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.15 / $916.50 / $1,540.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.04 / $1,903.41 / $2,248.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.14 / $1,572.82 / $2,420.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.45 / $1,755.28 / $5,608.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.45 / $1,662.89 / $2,305.36