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Ohio 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
$67.97 / $121.01 / $240.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.84 / $138.21 / $243.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.14 / $163.96 / $246.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $76.62 / $150.60
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.28 / $115.28 / $115.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.10 / $189.26 / $313.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.28 / $115.28 / $115.28
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.10 / $189.26 / $306.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.34 / $90.02 / $171.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.08 / $168.85 / $282.29