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Pennsylvania 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
$141.25 / $331.13 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $812.83
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $213.80 / $537.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $144.54 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $162.18 / $288.40
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $295.12 / $524.81
Capital Blue Cross
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $158.49 / $275.42
Capital Blue Cross
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $138.04 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $346.74 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $181.97 / $295.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $158.49 / $251.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $489.78
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$199.53 / $204.17 / $251.19
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $190.55 / $239.88
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $354.81 / $588.84
Geisinger
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.49 / $190.55 / $316.23
Geisinger
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.00 / $165.96 / $269.15
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $354.81
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $169.82 / $229.09
Martin's Point
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$141.25 / $288.40 / $549.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $776.25
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $204.17 / $467.74
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $173.78 / $380.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $512.86 / $741.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$151.36 / $151.36 / $162.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $295.12 / $354.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.91 / $151.36 / $162.18
UPMC Health Plan
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $125.89 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $316.23 / $537.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $173.78 / $288.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $151.36 / $251.19