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Wyoming 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
$93.78 / $93.78 / $95.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.07 / $316.07 / $324.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.00 / $1,191.00 / $1,191.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.79 / $370.71 / $1,019.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.60 / $485.39 / $875.88