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Ohio 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
$67.61 / $100.00 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $645.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $229.09 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $501.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $269.15 / $416.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
SummaCare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$457.09 / $457.09 / $457.09
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $281.84 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $223.87 / $380.19