go back

New York 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
$89.46 / $135.97 / $307.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $312.45 / $550.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.54 / $254.31 / $702.53
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.76 / $292.17 / $427.93
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.64 / $109.64 / $109.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.61 / $392.58 / $938.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.45 / $382.05 / $665.94
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.51 / $285.86 / $601.33
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.64 / $109.64 / $109.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.61 / $405.72 / $927.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.57 / $315.61 / $696.02
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.44 / $103.44 / $150.27
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.27 / $401.88 / $816.86