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West 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
$57.54 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $239.88
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$18.20 / $83.18 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $331.13 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $134.90 / $239.88