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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
$75.51 / $75.51 / $75.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.38 / $256.29 / $1,001.00
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.05 / $63.05 / $63.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.12 / $583.65 / $866.92
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$182.77 / $259.19 / $623.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.97 / $485.33 / $802.31
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$143.91 / $236.96 / $490.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.15 / $403.16 / $702.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.72 / $407.72 / $794.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.94 / $391.37 / $741.33