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New Mexico 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
$202.10 / $202.10 / $447.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.46 / $1,001.35 / $3,730.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.79 / $619.37 / $1,558.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.82 / $1,260.22 / $1,570.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $275.76 / $908.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.82 / $1,260.22 / $1,570.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.06 / $1,171.56 / $1,798.78