go back

South 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
$61.66 / $61.66 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $141.25 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $199.53 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $257.04