go back

Wisconsin rates for HCPCS 77305

Teletherapy Isodose Plan Simple

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $173.78 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $104.71 / $131.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $199.53 / $223.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $199.53 / $223.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $316.23 / $316.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $602.56 / $602.56