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Wisconsin 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)

Facilitymedian $324 · 10th–90th $229$6610%20%10th90th$324Professionalmedian $275 · 10th–90th $126$8910%10%10th90th$275$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$229.09 / $229.09 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $309.03 / $741.31
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$112.20 / $190.55 / $537.03
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$97.72 / $147.91 / $302.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $1,513.56
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $229.09 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$128.82 / $199.53 / $691.83
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$407.38 / $467.74 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $794.33 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $407.38 / $794.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$158.49 / $380.19 / $707.95
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $676.08 / $812.83
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$309.03 / $363.08 / $436.52
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $323.59 / $389.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $575.44 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $331.13 / $954.99
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$144.54 / $281.84 / $831.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $389.05
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $758.58 / $1,288.25
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $407.38 / $691.83
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $354.81 / $602.56
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $691.83 / $1,318.26
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$363.08 / $363.08 / $954.99
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,412.54 / $1,778.28
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$251.19 / $758.58 / $954.99
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $645.65 / $831.76
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $933.25
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,778.28 / $2,137.96
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$436.52 / $512.86 / $707.95
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$389.05 / $457.09 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $812.83 / $2,137.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $436.52 / $1,148.15
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$138.04 / $251.19 / $575.44