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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
$60.76 / $72.91 / $162.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.28 / $232.99 / $762.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.81 / $266.81 / $266.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.10 / $219.42 / $394.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.18 / $270.89 / $474.92
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.46 / $336.07 / $336.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.72 / $261.70 / $1,533.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.27 / $261.86 / $423.07