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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
$144.54 / $239.88 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $338.84 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $338.84 / $602.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $363.08 / $707.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $263.03 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $562.34