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Arkansas 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
$164.01 / $164.01 / $246.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.12 / $372.49 / $477.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.97 / $163.02 / $182.28
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.65 / $208.48 / $295.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.45 / $492.95 / $547.72
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$155.84 / $206.26 / $229.18
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$216.61 / $286.69 / $318.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.00 / $512.61 / $743.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$161.12 / $228.46 / $315.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.45 / $293.13 / $459.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.72 / $426.79 / $751.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.58 / $175.90 / $282.58
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.52 / $260.57 / $469.03