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Ohio 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
$89.07 / $158.06 / $314.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.65 / $288.72 / $550.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.02 / $285.02 / $455.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.43 / $223.22 / $323.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$150.55 / $150.55 / $150.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.14 / $367.79 / $680.02
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$150.55 / $150.55 / $150.55
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.72 / $367.79 / $617.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.96 / $257.84 / $442.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.49 / $308.92 / $554.72