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Utah 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)

Facilitymedian $105 · 10th–90th $105–$1050%50%$105Professionalmedian $309 · 10th–90th $191–$7080%20%10th90th$309$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$104.71 / $104.71 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $257.04 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $331.13 / $478.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $60.26 / $446.68
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $489.78 / $537.03
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $562.34 / $616.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $323.59 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $363.08 / $562.34