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Arkansas 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
$79.43 / $112.20 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $158.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $169.82 / $213.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $218.78 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $162.18 / $263.03