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Minnesota 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
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $630.96
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $64.57 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $588.84 / $891.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$194.98 / $275.42 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $758.58
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$208.93 / $263.03 / $512.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $389.05 / $794.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $416.87 / $794.33