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Delaware rates for HCPCS 77307

Teletherapy isodose plan; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$137.91 / $202.04 / $354.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.83 / $255.18 / $293.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.81 / $131.81 / $137.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.15 / $123.37 / $123.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.05 / $315.67 / $407.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$121.15 / $166.75 / $209.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.89 / $150.59 / $197.37
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$152.74 / $156.06 / $181.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $285.56 / $650.17
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.28 / $145.97 / $344.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.91 / $156.66 / $306.06