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Minnesota 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.52 / $450.30 / $1,083.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.24 / $242.99 / $401.69
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.03 / $411.68 / $852.96
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.33 / $191.33 / $351.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.21 / $262.58 / $309.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.00 / $1,012.00 / $1,012.00