go back

Virginia rates for HCPCS 77317

Brachytx Isodose Pln Intermed W/Dosimetry Cal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.32 / $153.50 / $359.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.69 / $284.13 / $532.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.23 / $375.88 / $526.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.13 / $377.34 / $775.27
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
$248.04 / $343.97 / $765.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.33 / $439.57 / $461.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.30 / $124.99 / $130.19
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.77 / $138.77 / $286.42
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $230.00 / $537.38
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.21 / $280.61 / $671.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.43 / $351.08 / $583.74