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Indiana 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
$102.82 / $102.82 / $152.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $291.86 / $332.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.97 / $343.01 / $487.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.06 / $224.51 / $398.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.86 / $346.19 / $531.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.81 / $294.89 / $508.17