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Indiana 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
$78.75 / $78.75 / $116.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.64 / $229.17 / $254.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.58 / $262.31 / $372.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.89 / $193.89 / $302.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.48 / $263.17 / $406.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.93 / $222.67 / $389.80