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North Carolina 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
$66.09 / $72.02 / $114.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.16 / $231.48 / $332.23
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.69 / $83.69 / $83.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.14 / $305.73 / $560.70
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$105.50 / $105.50 / $189.96
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $145.00 / $237.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.92 / $235.86 / $370.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.72 / $278.33 / $550.62
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.46 / $172.46 / $370.69
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.47 / $1,533.47 / $2,080.94