go back

Missouri rates for HCPCS 77787

Remote Afterloading High Dose Rate Radionuclide Brachytherapy; Over 12 Channels

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.64 / $1,126.64 / $1,126.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.87 / $1,119.04 / $2,895.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,816.68 / $3,816.68 / $3,816.68