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Iowa 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
$89.77 / $216.71 / $401.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.80 / $353.08 / $1,267.16
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$229.13 / $236.00 / $242.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.96 / $584.10 / $730.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.56 / $337.25 / $590.32
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.93 / $105.35 / $188.99
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$236.00 / $236.00 / $236.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.20 / $307.38 / $765.78
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$236.00 / $242.88 / $410.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.69 / $480.59 / $675.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.22 / $229.67 / $409.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.24 / $248.01 / $407.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.22 / $458.50 / $539.40