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Michigan 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
$177.83 / $181.97 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $177.83 / $512.86
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.71 / $141.25 / $223.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $123.03 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $436.52 / $467.74
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$245.47 / $245.47 / $245.47
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $630.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $190.55 / $338.84
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$125.89 / $162.18 / $295.12
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.83 / $186.21 / $331.13
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $323.59 / $524.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$114.82 / $177.83 / $380.19
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $147.91 / $245.47
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $346.74 / $630.96
Priority Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $190.55 / $338.84
Priority Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $158.49 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $331.13 / $457.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $177.83 / $245.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $154.88 / $213.80