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Utah rates for HCPCS 77316

Brachytx Isodose Pln Smpl W/Dosimetry Cal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.55 / $79.55 / $79.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.99 / $239.96 / $1,267.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.87 / $262.06 / $448.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.54 / $144.46 / $221.57
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$616.40 / $616.40 / $616.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.64 / $376.97 / $407.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.70 / $278.33 / $367.41