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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
$89.13 / $95.50 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $263.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $354.81