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Illinois 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
$67.61 / $125.89 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $177.83 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $281.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $288.40 / $977.24
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $109.65 / $489.78
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
$177.83 / $181.97 / $194.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $190.55 / $269.15