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Wisconsin rates for HCPCS 77776

Interstitial Radiation Source Applic Simple

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $1,047.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $478.63 / $891.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $478.63 / $891.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,623.41 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $3,162.28 / $3,162.28