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Kentucky 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
$92.48 / $92.48 / $118.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.65 / $291.86 / $440.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.96 / $208.02 / $349.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.40 / $148.35 / $414.57
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.64 / $109.64 / $109.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.36 / $377.00 / $511.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $313.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.39 / $283.43 / $394.89