go back

California 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
$86.82 / $91.39 / $575.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $257.01 / $899.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.35 / $419.64 / $844.39
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.49 / $282.38 / $687.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.28 / $333.58 / $858.80
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.43 / $425.98 / $575.07
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.45 / $111.77 / $150.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.93 / $427.85 / $749.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.94 / $138.12 / $230.55
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$225.81 / $485.69 / $485.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.59 / $2,025.59 / $2,738.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.95 / $348.65 / $824.40
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.13 / $956.13 / $956.13
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.66 / $358.88 / $473.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.13 / $364.95 / $882.96