go back

Wisconsin rates for HCPCS 77772

Hdr Rdncl Ntrstl/Intrcav Brachytx >12 Channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$424.49 / $424.49 / $601.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.40 / $1,327.33 / $2,548.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.90 / $1,814.20 / $5,868.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$747.93 / $874.01 / $1,340.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,218.49 / $4,039.82 / $4,590.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.59 / $2,116.21 / $5,608.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.69 / $555.58 / $1,668.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.89 / $2,165.26 / $3,842.31
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,291.31 / $1,291.31 / $1,291.31
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.34 / $4,390.50 / $5,608.27
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,050.90 / $5,547.27 / $5,547.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.59 / $2,002.07 / $4,142.00