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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
$251.19 / $316.23 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $251.19 / $758.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $263.03 / $363.08
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$173.78 / $338.84 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $245.47 / $371.54