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Alaska rates for HCPCS 77318

Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$467.12 / $467.12 / $467.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.47 / $317.47 / $1,414.43
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.81 / $131.81 / $535.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.65 / $185.65 / $879.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.87 / $931.87 / $1,259.19
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$452.88 / $452.88 / $534.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$478.98 / $478.98 / $724.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.79 / $1,350.78 / $2,436.00
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$372.80 / $447.36 / $480.17
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$752.88 / $903.45 / $969.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.00 / $1,860.30 / $3,318.40
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$540.00 / $610.20 / $1,317.60
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$820.00 / $1,250.09 / $2,000.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.94 / $1,722.50 / $2,992.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$534.20 / $652.50 / $1,317.60
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$724.99 / $1,100.75 / $2,000.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.70 / $1,511.01 / $5,764.20
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$223.39 / $641.04 / $2,445.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$300.31 / $869.97 / $3,318.75