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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
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $251.19 / $380.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.20 / $83.18 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $416.87 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $186.21 / $354.81