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South Carolina rates for HCPCS 77772

Hdr Rdncl Ntrstl/Intrcav Brachytx >12 Channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$237.72 / $237.72 / $237.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.98 / $771.89 / $1,279.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.65 / $1,878.00 / $2,533.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.00 / $1,159.86 / $1,784.17
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$303.08 / $620.54 / $957.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.78 / $578.78 / $578.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.59 / $667.72 / $1,121.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.07 / $1,087.36 / $1,766.44