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Missouri rates for HCPCS 77307

Telethx Isodose Pln Cplx W/Basic Dosimetry

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$125.68 / $183.28 / $337.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.38 / $274.56 / $651.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.68 / $150.81 / $484.96
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.70 / $129.35 / $301.89
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.56 / $177.60 / $230.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.68 / $330.96 / $548.63
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$149.24 / $182.61 / $301.95
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.44 / $150.68 / $249.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.02 / $383.78 / $608.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.36 / $211.00 / $326.89
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.55 / $177.19 / $281.50
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$357.82 / $699.38 / $699.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.81 / $349.91 / $1,788.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.13 / $184.42 / $948.42
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.66 / $161.40 / $839.64
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$278.95 / $278.95 / $278.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.72 / $347.21 / $591.86
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.13 / $182.29 / $323.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.66 / $161.40 / $277.16