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Maine 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
Professional
Modifier
Low / Median / High Price
$190.09 / $230.66 / $325.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.66 / $312.77 / $469.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.19 / $339.57 / $559.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.68 / $354.83 / $665.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.09 / $230.66 / $452.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.28 / $312.22 / $517.12