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Vermont 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 / $302.00 / $457.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$144.54 / $194.98 / $549.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $144.54 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$177.83 / $177.83 / $645.65
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $398.11 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $208.93 / $645.65
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $190.55 / $407.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $1,202.26
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$645.65 / $645.65 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $416.87 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$151.36 / $218.78 / $371.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $194.98 / $371.54