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Alaska rates for HCPCS 77321

Special teletherapy port plan, particles, hemibody, total body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$153.77 / $153.77 / $153.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.59 / $198.61 / $392.63
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.96 / $47.77 / $176.14
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.64 / $68.05 / $126.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.83 / $257.83 / $300.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.62 / $148.62 / $176.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.21 / $109.21 / $123.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.35 / $277.52 / $500.50
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$122.10 / $146.52 / $157.26
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$109.18 / $131.01 / $140.62
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.50 / $382.05 / $811.30
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$177.50 / $201.15 / $433.10
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$155.00 / $180.90 / $378.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.38 / $353.75 / $731.50
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$176.94 / $217.50 / $433.10
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.66 / $184.50 / $378.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.83 / $360.72 / $1,376.07
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.67 / $212.34 / $810.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.92 / $150.16 / $566.03