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Maine 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
Professional
Modifier
Low / Median / High Price
$317.47 / $358.77 / $825.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.81 / $146.87 / $242.46
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.65 / $209.50 / $583.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.26 / $588.75 / $876.20
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$156.72 / $202.81 / $287.39
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.14 / $369.54 / $556.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.89 / $636.84 / $1,048.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$184.44 / $258.48 / $348.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$355.03 / $427.76 / $699.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.78 / $663.86 / $1,245.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.02 / $219.85 / $412.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$383.76 / $444.01 / $833.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.47 / $375.78 / $825.94
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.81 / $151.59 / $242.46
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.65 / $228.89 / $583.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.54 / $503.14 / $1,018.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.29 / $212.22 / $387.79
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.40 / $291.92 / $647.65