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New Jersey 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
$67.92 / $67.92 / $289.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.35 / $202.10 / $259.75
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.70 / $254.70 / $254.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.74 / $255.52 / $468.33
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.32 / $345.94 / $345.94
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.99 / $192.58 / $292.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.30 / $247.27 / $434.70