go back

Wisconsin rates for HCPCS 77315

Teletherapy Isodose Plan Complete

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $398.11 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $302.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $288.40 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $288.40 / $524.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $776.25 / $776.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,023.29 / $1,023.29