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Maine rates for HCPCS 77778

Interstitial Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.75 / $836.93 / $1,616.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$489.79 / $491.36 / $734.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.69 / $1,211.63 / $1,756.86
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$473.70 / $613.03 / $871.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.52 / $1,517.97 / $2,077.12
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$557.51 / $780.40 / $1,053.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.63 / $1,338.22 / $2,510.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$575.02 / $665.30 / $1,248.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.75 / $851.91 / $1,619.58
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$489.79 / $524.73 / $734.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.51 / $1,077.86 / $1,878.80
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$544.11 / $705.32 / $1,098.08