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Oklahoma 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
$58.88 / $75.86 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $218.78 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $162.18 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $208.93 / $316.23
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$173.78 / $338.84 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $223.87 / $331.13