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Wisconsin rates for HCPCS 77317

Brachytx Isodose Pln Intermed W/Dosimetry Cal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$144.84 / $144.84 / $205.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.84 / $478.30 / $682.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.27 / $593.40 / $1,764.91
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$255.02 / $298.01 / $457.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.02 / $1,447.33 / $1,644.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.17 / $653.62 / $2,025.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.30 / $209.89 / $601.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.51 / $772.24 / $1,165.96
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$440.53 / $440.53 / $440.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.48 / $1,392.03 / $2,025.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.49 / $1,987.38 / $1,987.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.17 / $632.70 / $1,210.36