go back

Wisconsin rates for HCPCS 77785

Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 1 Channel

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.35 / $709.74 / $1,088.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.06 / $427.57 / $727.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.14 / $277.14 / $442.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.14 / $277.14 / $442.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.59 / $1,062.59 / $1,062.59
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.14 / $277.14 / $442.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.20 / $960.20 / $960.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.55 / $1,062.59 / $1,062.59