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Washington 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
$147.91 / $288.40 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $302.00 / $891.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.83 / $204.17 / $549.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.65 / $147.91 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.03 / $151.36 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $588.84 / $912.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.21 / $309.03 / $457.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $281.84 / $446.68
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$194.98 / $346.74 / $1,584.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $616.60 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $316.23 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $309.03 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $93.33
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$245.47 / $295.12 / $302.00
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.82 / $229.09 / $302.00
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $223.87 / $275.42
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$199.53 / $199.53 / $208.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $645.65 / $851.14
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$208.93 / $338.84 / $446.68
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $302.00 / $398.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$660.69 / $660.69 / $660.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $588.84 / $794.33
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$204.17 / $316.23 / $426.58
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $275.42 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $741.31
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $194.98 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $173.78 / $346.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $575.44
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.88 / $208.93 / $295.12
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $194.98 / $275.42