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West Virginia 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
$120.23 / $120.23 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $467.74 / $724.44
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.89 / $154.88 / $257.04
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $309.03 / $446.68
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.15 / $173.78 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $794.33 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.18 / $371.54 / $724.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $426.58 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $346.74 / $676.08
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.00 / $138.04 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $208.93 / $389.05