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Maine 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
Professional
Modifier
Low / Median / High Price
$233.65 / $248.64 / $550.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.67 / $409.64 / $618.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.14 / $446.83 / $738.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.54 / $466.90 / $876.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $302.45 / $693.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.45 / $350.35 / $678.07