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North Dakota 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
$98.48 / $98.48 / $167.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.65 / $289.55 / $440.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.86 / $681.95 / $805.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.54 / $502.93 / $865.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.01 / $496.38 / $2,025.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.01 / $496.38 / $921.08