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Wisconsin rates for HCPCS 77772

Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels

Facilitymedian $603 · 10th–90th $427$1,2020%20%10th90th$603Professionalmedian $1,230 · 10th–90th $724$3,7150%10%10th90th$1,230$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$426.58 / $426.58 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $977.24 / $1,905.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,348.96 / $4,897.79
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$741.31 / $870.96 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $2,454.71 / $4,677.35
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,137.96 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,819.70 / $5,623.41
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,398.83 / $4,073.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,187.76 / $4,073.80
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$660.69 / $660.69 / $1,737.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $4,365.16 / $5,623.41
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,019.95 / $5,495.41 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,659.59 / $3,890.45