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Pennsylvania rates for HCPCS 77772

Hdr Rdncl Ntrstl/Intrcav Brachytx >12 Channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$272.99 / $475.00 / $952.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.04 / $888.75 / $3,730.40
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.97 / $1,393.22 / $1,629.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$320.77 / $320.77 / $320.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.03 / $1,091.69 / $1,685.62
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.46 / $1,236.93 / $1,422.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.76 / $335.76 / $1,126.17
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$272.99 / $526.28 / $1,078.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.84 / $960.60 / $2,636.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.81 / $1,134.61 / $1,709.24
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$320.77 / $320.77 / $320.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.18 / $1,093.08 / $1,780.99
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$276.69 / $276.69 / $303.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.81 / $857.65 / $957.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$789.19 / $1,026.10 / $1,693.03