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Alaska rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $708 · 10th–90th $708$7080%50%100%$708Professionalmedian $513 · 10th–90th $224$1,5140%10%10th90th$513$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $512.86 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $407.38 / $691.83
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $281.84 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $794.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$549.54 / $549.54 / $741.31
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $1,202.26 / $1,659.59
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $562.34 / $812.83
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$281.84 / $645.65 / $831.76
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $4,265.80
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$831.76 / $912.01 / $1,949.84
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$977.24 / $1,047.13 / $2,290.87
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $977.24 / $1,548.82
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $302.00 / $794.33
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $354.81 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,819.70 / $7,079.46
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$302.00 / $954.99 / $3,630.78
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$588.84 / $977.24 / $3,388.44