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Vermont 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
Professional
Modifier
Low / Median / High Price
$967.26 / $967.26 / $967.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.16 / $1,266.93 / $3,800.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.16 / $1,283.21 / $3,800.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.57 / $1,325.69 / $4,042.40