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Nebraska 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
$93.78 / $457.84 / $771.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.35 / $299.35 / $1,661.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.26 / $597.79 / $612.74
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$537.24 / $537.24 / $537.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.00 / $671.12 / $960.90
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$440.53 / $440.53 / $440.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.33 / $523.46 / $2,025.59
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$310.79 / $319.83 / $537.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.15 / $612.99 / $810.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.38 / $247.24 / $597.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.13 / $619.96 / $652.58