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Tennessee 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
$69.86 / $109.02 / $379.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.58 / $223.65 / $301.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.09 / $234.88 / $419.33
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.80 / $115.80 / $115.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.57 / $310.41 / $528.54
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.46 / $370.69 / $370.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,533.47 / $1,533.47 / $2,080.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.51 / $237.40 / $503.02