go back

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
$86.60 / $86.60 / $90.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.30 / $138.21 / $168.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.86 / $190.48 / $249.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.86 / $213.14 / $324.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.23 / $54.23 / $86.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.58 / $136.10 / $191.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.76 / $73.79 / $143.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.44 / $164.95 / $237.93