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Minnesota rates for HCPCS 77787

Remote Afterloading High Dose Rate Radionuclide Brachytherapy; Over 12 Channels

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.30 / $2,625.37 / $6,315.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.64 / $1,416.67 / $2,341.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,457.71 / $2,400.21 / $4,972.97
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.49 / $1,115.49 / $2,049.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.55 / $1,159.58 / $1,722.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,816.68 / $3,816.68 / $3,816.68