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Nationwide rates for HCPCS 77315

Teletherapy, isodose plan (whether hand or computer calculated); complex (mantle or inverted Y, tangential ports, the use of wedges, compensators, complex blocking, rotational beam, or special beam considerations) (Only 1 teletherapy isodose plan may be reported for a given course of therapy to a specific treatment area)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.96 / $385.16 / $842.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.62 / $423.64 / $846.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.81 / $242.99 / $365.55

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