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Virginia 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
$66.07 / $117.49 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $141.25 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $275.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $165.96 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $194.98 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $199.53 / $213.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $97.72 / $102.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Medcost
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $154.88 / $154.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $147.91 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $181.97 / $309.03