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Washington rates for HCPCS 77306

Telethx Isodose Pln Smpl W/Dosimetry Calculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.89 / $163.47 / $250.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.66 / $153.74 / $307.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.08 / $336.07 / $657.04
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.74 / $344.43 / $1,269.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.52 / $299.08 / $473.37
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.20 / $162.97 / $1,073.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.56 / $323.79 / $426.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.55 / $122.76 / $276.70
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.45 / $141.37 / $146.72
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.43 / $115.68 / $201.16
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.08 / $100.08 / $100.08
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.04 / $338.29 / $403.66
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$657.04 / $657.04 / $1,088.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.74 / $304.74 / $399.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.16 / $190.83 / $381.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.74 / $168.74 / $168.74