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New York 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
$346.74 / $407.38 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $2,290.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $2,344.23
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $870.96 / $1,258.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.18 / $323.59 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,412.54 / $3,235.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $1,905.46
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $977.24 / $1,698.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,230.27 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $2,187.76
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.80 / $302.00 / $416.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,071.52 / $1,905.46