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Tennessee 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
$267.58 / $305.43 / $1,455.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.93 / $888.75 / $1,172.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.28 / $1,099.22 / $1,722.68
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
$843.71 / $1,293.88 / $1,997.06
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$662.35 / $1,421.72 / $1,421.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,608.27 / $5,608.27 / $7,678.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.03 / $1,011.64 / $2,259.30