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Tennessee 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
$91.35 / $170.82 / $493.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.65 / $293.67 / $395.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.62 / $304.66 / $550.62
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 / $406.68 / $694.71
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$225.81 / $485.69 / $485.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,025.59 / $2,025.59 / $2,738.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.09 / $310.62 / $657.78