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Alaska rates for HCPCS 77316

Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$226.09 / $226.09 / $226.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.46 / $752.46 / $1,267.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.57 / $488.57 / $666.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.43 / $721.98 / $1,302.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.50 / $997.65 / $1,762.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.71 / $923.75 / $1,589.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.97 / $799.80 / $3,051.08