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Wisconsin rates for HCPCS 77306

Telethx Isodose Pln Smpl W/Dosimetry Calculation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.95 / $110.95 / $156.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.99 / $221.06 / $314.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.62 / $288.70 / $810.71
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$195.54 / $228.51 / $350.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.86 / $664.85 / $755.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.22 / $346.92 / $920.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.37 / $112.30 / $246.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.58 / $354.96 / $632.35
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$336.07 / $336.07 / $336.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.25 / $729.35 / $920.53
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.85 / $912.93 / $912.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.22 / $333.08 / $688.07