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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$218.78 / $316.23 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$109.65 / $204.17 / $457.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.13 / $138.04 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $346.74 / $616.60
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $138.04 / $269.15
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $125.89 / $181.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $588.84 / $812.83
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.55 / $309.03 / $416.87
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $281.84 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $489.78
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $190.55 / $257.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.23 / $169.82 / $234.42