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Wisconsin rates for HCPCS 77326

Brachytherapy isodose plan; simple (calculation made from single plane, one to four sources/ribbon application, remote afterloading brachytherapy, 1 to 8 sources)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.95 / $426.48 / $654.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.54 / $256.92 / $436.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.40 / $167.26 / $345.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.40 / $167.26 / $345.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.00 / $775.00 / $775.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.40 / $167.26 / $345.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.65 / $499.65 / $499.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.22 / $775.00 / $775.00