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Washington 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
$70.79 / $151.36 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $151.36 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $302.00 / $467.74
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.50 / $165.96 / $1,584.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $316.23 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.49 / $141.25 / $147.91
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $199.53
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.72 / $97.72 / $100.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $331.13 / $436.52
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$660.69 / $660.69 / $660.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $309.03 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $380.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $208.93 / $295.12