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Ohio rates for HCPCS 77014

Computed tomography guidance for placement of radiation therapy fields

Professionalmedian $78 · 10th–90th $32$1700%10%10th90th$78$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $109.65 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$33.88 / $38.02 / $60.26
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $165.96
Aultcare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$50.12 / $50.12 / $66.07
Aultcare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$77.62 / $77.62 / $100.00
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $89.13 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $239.88 / $426.58
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$72.44 / $89.13 / $144.54
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$123.03 / $181.97 / $416.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $125.89 / $363.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $141.25 / $354.81
SummaCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$48.98 / $54.95 / $85.11
SummaCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $85.11 / $269.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $138.04 / $169.82
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$30.20 / $52.48 / $64.57
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$51.29 / $85.11 / $112.20