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Arkansas 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
$103.42 / $103.42 / $155.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.16 / $256.94 / $257.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.29 / $341.86 / $379.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.69 / $354.12 / $512.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.70 / $310.22 / $525.53