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Maryland 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
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.89 / $181.97 / $467.74
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $302.00 / $707.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $467.74 / $524.81
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.54 / $147.91 / $169.82
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $354.81 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $478.63 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.23 / $181.97 / $407.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $338.84 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $549.54 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $173.78 / $257.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$323.59 / $371.54 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $758.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $158.49 / $275.42
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $257.04 / $478.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $562.34 / $741.31
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.72 / $181.97 / $234.42
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$199.53 / $380.19 / $512.86