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Massachusetts 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
$52.48 / $75.86 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $239.88 / $1,000.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.18 / $181.97 / $457.09
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $288.40 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $758.58
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $275.42 / $489.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $707.95
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.18 / $181.97 / $457.09
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $288.40 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $309.03 / $741.31