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West 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
$58.23 / $58.23 / $58.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.62 / $234.30 / $234.30
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
$194.81 / $301.08 / $1,159.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.04 / $197.87 / $365.09