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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
$74.13 / $131.83 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $363.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $120.23 / $380.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $288.40 / $426.58
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$457.09 / $457.09 / $457.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,089.30 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $426.58