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North Carolina 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 / $114.82 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $239.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.20 / $83.18 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $223.87 / $389.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $109.65 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $371.54
Wellcare
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$457.09 / $457.09 / $457.09
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,258.93