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Hawaii rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $263 · 10th–90th $234$3090%20%40%10th90th$263Professionalmedian $389 · 10th–90th $209$1,6980%5%10%10th90th$389$100.0$200.0$500.0$1.0K$2.0K

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
$234.42 / $263.03 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $549.54 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $275.42 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $295.12 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $691.83 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $251.19 / $467.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $389.05 / $1,122.02
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,819.70 / $2,041.74
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$281.84 / $288.40 / $302.00
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,412.54 / $1,479.11 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $630.96 / $794.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $281.84 / $323.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $354.81 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,202.26 / $3,715.35
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $281.84 / $1,778.28
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $912.01 / $912.01
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $794.33 / $1,905.46
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$245.47 / $338.84 / $467.74
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $446.68 / $1,513.56