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Arkansas 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
$79.43 / $79.43 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $288.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $223.87 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $269.15 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $407.38