go back

Indiana 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 / $89.13 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $151.36 / $239.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $204.17 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $158.49 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $162.18 / $257.04