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Ohio 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
$260.50 / $463.74 / $926.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.76 / $888.75 / $1,634.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.95 / $1,015.94 / $1,535.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.55 / $614.02 / $908.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$443.56 / $443.56 / $443.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.05 / $1,146.21 / $1,882.86
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$443.56 / $443.56 / $443.56
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.05 / $1,143.74 / $1,850.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.32 / $699.85 / $1,191.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.39 / $1,008.72 / $1,757.71