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Wyoming 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
$72.44 / $72.44 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $257.04 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $380.19 / $660.69