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Massachusetts 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
$69.51 / $69.51 / $261.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.34 / $242.67 / $363.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$107.78 / $226.61 / $485.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.51 / $390.42 / $1,164.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.81 / $509.72 / $1,040.17
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.67 / $341.75 / $611.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.00 / $740.65 / $1,022.15
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$225.81 / $225.81 / $485.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.47 / $404.04 / $2,025.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.95 / $404.04 / $823.97