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Texas 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
$100.00 / $102.33 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $758.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $158.49 / $489.78
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.72 / $131.83 / $229.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.91 / $151.36 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $263.03 / $407.38
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $338.84 / $436.52
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.54 / $154.88 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $549.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $177.83 / $302.00
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $158.49 / $263.03
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$954.99 / $954.99 / $954.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,454.71 / $2,454.71
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$954.99 / $1,258.93 / $1,258.93
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$831.76 / $1,174.90 / $1,174.90
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $102.33 / $112.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $389.05 / $758.58
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$112.20 / $218.78 / $478.63
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $177.83 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $109.65 / $239.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $549.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $331.13 / $549.54
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.82 / $173.78 / $288.40
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $154.88 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $478.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $194.98 / $251.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$117.49 / $173.78 / $229.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $288.40
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.91 / $147.91 / $154.88
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.83 / $131.83 / $138.04