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Arizona rates for HCPCS 77317

Brachytx Isodose Pln Intermed W/Dosimetry Cal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$132.57 / $320.70 / $400.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.65 / $257.01 / $550.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.73 / $339.21 / $676.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.18 / $328.70 / $481.60
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$225.81 / $440.53 / $440.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.60 / $350.35 / $2,025.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.60 / $323.52 / $535.39