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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $181.97 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $309.03 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $251.19