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Minnesota 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
$154.88 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $912.01
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $181.97 / $562.34
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $141.25 / $234.42
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.82 / $134.90 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$251.19 / $363.08 / $549.54
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $331.13 / $501.19
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$398.11 / $562.34 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$234.42 / $295.12 / $478.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $269.15 / $436.52
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$436.52 / $549.54 / $1,071.52
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $691.83
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$234.42 / $234.42 / $363.08
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $213.80 / $331.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $575.44 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $323.59 / $912.01
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $257.04 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $977.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $288.40 / $512.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $269.15 / $467.74