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Texas 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
$49.50 / $54.05 / $94.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.84 / $192.38 / $474.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.83 / $321.83 / $321.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.78 / $176.10 / $289.39
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.88 / $267.58 / $369.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.56 / $249.56 / $408.53
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
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.88 / $397.09 / $541.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.90 / $226.66 / $398.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.47 / $255.21 / $437.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.76 / $247.27 / $349.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.40 / $229.88 / $326.89