go back

Minnesota 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
$98.57 / $98.57 / $98.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.65 / $336.84 / $581.37
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.64 / $82.64 / $82.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.57 / $797.28 / $1,140.25
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$238.36 / $338.03 / $813.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.96 / $638.72 / $1,055.89
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$187.69 / $309.04 / $640.29
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.93 / $530.58 / $923.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.25 / $534.53 / $1,042.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.52 / $534.65 / $972.02