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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
$78.75 / $78.75 / $116.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.66 / $138.58 / $154.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.15 / $205.83 / $277.87
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.03 / $93.19 / $184.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.28 / $181.26 / $291.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.38 / $163.56 / $270.24