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Missouri 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
$70.79 / $169.82 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $295.12 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $263.03 / $416.87
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$173.78 / $338.84 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $251.19 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $398.11