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Wyoming 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
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $302.00 / $707.95
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.04 / $204.17 / $380.19
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $141.25 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,122.02 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$316.23 / $588.84 / $588.84
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.84 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $436.52 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $245.47 / $549.54
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $194.98 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $512.86 / $891.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$177.83 / $269.15 / $467.74
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $239.88 / $416.87