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Tennessee 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
$131.83 / $380.19 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $144.54 / $234.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $69.18 / $269.15
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $316.23
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$457.09 / $457.09 / $457.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,258.93 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $169.82 / $288.40