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Nebraska 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
$151.36 / $213.80 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $354.81 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $446.68 / $467.74
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $524.81 / $741.31
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$338.84 / $338.84 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $1,548.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $512.86 / $851.14
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.25 / $158.49 / $251.19
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$407.38 / $407.38 / $407.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $331.13 / $512.86