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Washington 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
$93.33 / $199.53 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $602.56 / $1,047.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.03 / $218.78 / $1,584.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $602.56 / $851.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.88 / $186.21 / $190.55
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$128.82 / $128.82 / $131.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $707.95 / $954.99
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$660.69 / $660.69 / $660.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $676.08 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $363.08 / $794.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $645.65