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Virginia 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
$66.89 / $116.54 / $242.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.20 / $234.30 / $398.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.17 / $285.77 / $403.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.43 / $286.85 / $526.54
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.69 / $83.69 / $83.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.67 / $263.07 / $583.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.20 / $334.01 / $350.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.70 / $95.33 / $99.30
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.77 / $105.50 / $218.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.00 / $176.00 / $407.86
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.55 / $213.26 / $511.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.65 / $264.97 / $399.89