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Arizona rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $776 · 10th–90th $525$1,0720%10%20%10th90th$776Professionalmedian $437 · 10th–90th $214$1,4130%5%10th90th$437$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$354.81 / $776.25 / $1,071.52
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $616.60 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $346.74 / $954.99
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $346.74 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $512.86 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$234.42 / $239.88 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $275.42 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $724.44 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $269.15 / $426.58
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $380.19 / $851.14
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$524.81 / $1,318.26 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $870.96 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$251.19 / $288.40 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $501.19 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $630.96 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$234.42 / $281.84 / $416.87
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $346.74 / $870.96