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Ohio rates for HCPCS 77014

Computed tomography guidance for placement of radiation therapy fields

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.06 / $75.00 / $146.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.17 / $210.80 / $378.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.16 / $78.90 / $146.41
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.00 / $131.90 / $232.06
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.86 / $77.86 / $121.54
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.14 / $45.35 / $59.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.23 / $149.47 / $247.14
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.65 / $51.74 / $82.69
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.72 / $97.33 / $167.67
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.61 / $127.61 / $197.90
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.36 / $50.36 / $78.09
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.23 / $77.23 / $119.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.08 / $85.10 / $145.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.20 / $289.39 / $513.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.09 / $89.66 / $144.57
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.11 / $181.97 / $414.02
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $283.13 / $1,307.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.36 / $64.44 / $119.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.02 / $91.36 / $180.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.54 / $145.99 / $241.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.32 / $50.96 / $88.06
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.68 / $92.15 / $166.28