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New Jersey 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
$89.45 / $89.46 / $381.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $259.60 / $343.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.10 / $334.29 / $614.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.05 / $455.25 / $455.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.85 / $252.55 / $384.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.43 / $313.83 / $570.04