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Michigan 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
$86.60 / $86.60 / $109.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.62 / $276.17 / $289.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.55 / $311.94 / $396.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.05 / $270.95 / $491.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.23 / $54.23 / $86.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.19 / $209.21 / $347.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.49 / $162.04 / $257.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.61 / $230.22 / $304.38