go back

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
$120.85 / $120.85 / $120.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.47 / $338.17 / $436.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$120.85 / $131.81 / $146.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.65 / $217.32 / $299.86
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$172.76 / $172.76 / $172.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.91 / $565.98 / $2,170.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$161.83 / $200.85 / $718.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$207.08 / $365.13 / $1,451.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.29 / $497.50 / $694.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.31 / $191.31 / $321.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.51 / $225.98 / $417.30