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Wyoming 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
$71.56 / $71.56 / $73.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.21 / $145.21 / $147.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $547.00 / $547.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.89 / $222.60 / $533.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.16 / $253.80 / $457.98