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Missouri 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
$72.44 / $213.80 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $144.54 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $177.83 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $194.98 / $281.84
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$173.78 / $338.84 / $338.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $177.83 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $281.84