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South Carolina 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
$61.66 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $229.09 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $257.04 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $269.15 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $245.47 / $371.54