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Arizona 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
$251.19 / $316.23 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $263.03
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$173.78 / $338.84 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $190.55 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $190.55 / $245.47