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Arizona 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)

Facilitymedian $417 · 10th–90th $295–$4570%20%10th90th$417Professionalmedian $316 · 10th–90th $219–$6310%10%20%10th90th$316$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$331.13 / $416.87 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $316.23 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $346.74 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $331.13 / $501.19
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$223.87 / $436.52 / $436.52
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $346.74 / $2,041.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $323.59 / $489.78