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Tennessee 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
$145.19 / $205.31 / $782.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.88 / $280.45 / $481.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.87 / $152.52 / $243.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.02 / $132.43 / $172.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.45 / $222.45 / $477.94
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.74 / $145.02 / $261.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.32 / $353.09 / $569.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.38 / $201.58 / $344.02
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.30 / $173.30 / $292.77
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$238.40 / $238.40 / $238.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.89 / $415.34 / $628.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.15 / $223.57 / $344.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.52 / $192.82 / $284.29
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$357.82 / $769.74 / $769.74
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.06 / $1,788.06 / $2,427.08
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$948.42 / $948.42 / $1,251.23
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$839.64 / $839.64 / $1,175.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.08 / $328.79 / $772.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$141.62 / $180.46 / $391.17
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.61 / $148.33 / $260.25