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Maine 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
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $263.03 / $363.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $223.87 / $426.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $158.49 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $213.80 / $389.05