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Idaho 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
$251.72 / $251.72 / $251.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.65 / $343.81 / $581.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.27 / $445.50 / $542.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.51 / $554.16 / $749.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $175.31 / $567.94
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$657.04 / $657.04 / $657.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.36 / $665.82 / $749.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.60 / $350.35 / $550.11