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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
$79.64 / $79.64 / $117.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.65 / $197.06 / $222.33
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.85 / $289.85 / $289.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.25 / $261.06 / $290.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.48 / $271.97 / $391.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.20 / $222.67 / $405.97