go back

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
$85.11 / $87.10 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $234.42 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $229.09 / $489.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.54 / $134.90 / $158.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $229.09 / $380.19
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $223.87 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $302.00