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Pennsylvania 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 / $208.93 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $245.47 / $758.58
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $251.19 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $239.88 / $426.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $338.84 / $426.58
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $281.84 / $407.38
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$89.13 / $194.98 / $281.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $302.00 / $691.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $446.68 / $478.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.44 / $72.44 / $77.62
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $229.09 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $245.47 / $407.38