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Alaska rates for HCPCS 77317

Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$295.26 / $295.26 / $295.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.01 / $988.77 / $1,328.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.79 / $638.79 / $873.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.58 / $950.01 / $1,713.25
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.25 / $1,312.20 / $2,308.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.08 / $1,213.50 / $2,081.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.39 / $1,048.50 / $3,999.82