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Oregon 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
$123.03 / $165.96 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $501.19 / $724.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $575.44 / $676.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $169.82 / $194.98
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.82 / $165.96 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $575.44 / $812.83
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $141.25 / $147.91
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $724.44
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $275.42 / $630.96