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West Virginia 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
$223.34 / $223.34 / $223.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.32 / $857.43 / $1,001.35
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$320.77 / $320.77 / $320.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.51 / $1,113.59 / $4,279.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.58 / $984.15 / $1,776.83