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New Jersey 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
$265.58 / $265.58 / $1,133.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.04 / $923.57 / $1,172.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.54 / $1,189.22 / $2,133.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.97 / $1,275.00 / $1,275.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.60 / $928.00 / $1,356.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.00 / $1,061.94 / $1,805.77