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Illinois rates for HCPCS 77300

Basic Radiation Dosimetry Calculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.63 / $46.43 / $92.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.29 / $95.86 / $627.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.73 / $87.60 / $671.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.34 / $40.02 / $82.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.06 / $67.81 / $70.45
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.05 / $33.22 / $40.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.80 / $79.15 / $151.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.61 / $94.93 / $138.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.86 / $45.10 / $69.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.36 / $51.50 / $72.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.59 / $111.53 / $345.40
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.74 / $53.44 / $251.19
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.84 / $56.39 / $219.81
Hally Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.55 / $81.34 / $88.15
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.17 / $40.85 / $43.42
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.70 / $41.18 / $44.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $42.76 / $92.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $90.14 / $159.51
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.76 / $41.66 / $66.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.04 / $48.09 / $69.95