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Wyoming rates for HCPCS 77772

Hdr Rdncl Ntrstl/Intrcav Brachytx >12 Channels

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$274.81 / $274.81 / $281.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.94 / $885.94 / $898.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.00 / $3,318.00 / $3,318.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.92 / $1,335.75 / $3,222.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.01 / $1,533.60 / $2,833.61