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Alabama rates for HCPCS 77306

Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$123.03 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $151.36 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $173.78 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $194.98