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Delaware rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$204.37 / $297.86 / $525.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.13 / $504.95 / $608.78
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$198.09 / $198.28 / $229.46
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.04 / $306.66 / $306.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.07 / $657.42 / $1,388.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$178.43 / $264.00 / $371.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$215.02 / $358.98 / $724.89
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,597.06 / $2,597.06 / $2,597.06
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$230.82 / $317.77 / $448.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.33 / $801.52 / $1,587.12
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$180.22 / $256.54 / $508.28
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.11 / $443.59 / $1,330.58