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North Dakota rates for HCPCS 77778

Interstitial Radiation Source Applic Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$468.63 / $468.63 / $801.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.75 / $878.00 / $950.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$465.65 / $472.03 / $521.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.28 / $1,938.49 / $2,290.35
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$897.50 / $962.16 / $1,135.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.08 / $1,553.95 / $2,183.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$605.66 / $875.44 / $1,204.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.36 / $1,620.79 / $6,280.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$490.89 / $910.70 / $5,024.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.36 / $1,492.60 / $2,202.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$474.58 / $819.63 / $1,170.40