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New York 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
$89.13 / $104.71 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $239.88 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $194.98 / $537.03
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $223.87 / $323.59
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.20 / $83.18 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $851.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $524.81
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $245.47 / $457.09
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $302.00 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $234.42 / $524.81
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $79.43 / $112.20
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $263.03 / $512.86