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North Dakota 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 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $218.78 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $537.03 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $389.05 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $371.54 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $380.19 / $549.54