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Michigan 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
$85.11 / $87.10 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $144.54 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $223.87 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $181.97 / $323.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.54 / $134.90 / $158.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $229.09
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $181.97 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $239.88