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Delaware 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
$85.11 / $85.11 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $223.87 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $213.80 / $457.09