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Arizona 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
$100.68 / $243.56 / $304.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.64 / $254.26 / $1,267.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.73 / $270.73 / $270.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.35 / $257.79 / $513.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.04 / $250.68 / $367.74
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.46 / $336.07 / $336.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.10 / $267.20 / $1,533.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.10 / $247.27 / $375.83