go back

Utah rates for HCPCS 77306

Telethx Isodose Pln Smpl W/Dosimetry Calculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.55 / $79.55 / $79.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.72 / $155.34 / $864.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.54 / $193.39 / $272.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.30 / $64.69 / $133.49
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$616.40 / $616.40 / $616.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.60 / $267.22 / $295.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.66 / $190.83 / $251.89