go back

Pennsylvania rates for HCPCS 77317

Brachytx Isodose Pln Intermed W/Dosimetry Cal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.98 / $163.53 / $327.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.65 / $264.10 / $550.72
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.74 / $408.20 / $503.77
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
$232.77 / $323.50 / $549.74
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.44 / $408.65 / $507.45
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.98 / $177.91 / $371.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.65 / $311.58 / $953.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.57 / $355.01 / $608.50
Priority Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.64 / $109.64 / $109.64
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.46 / $327.66 / $549.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$94.51 / $94.51 / $102.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.96 / $307.55 / $333.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.13 / $319.52 / $540.19