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Illinois rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $372 · 10th–90th $209$7080%20%10th90th$372Professionalmedian $427 · 10th–90th $219$1,2880%10%10th90th$427$10.0$50.0$200.0$1.0K$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
$208.93 / $371.54 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $616.60 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $354.81 / $831.76
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $338.84 / $691.83
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $218.78 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $575.44 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $707.95 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $309.03 / $467.74
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $389.05 / $1,202.26
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $891.25 / $4,466.84
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $363.08 / $2,691.53
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $478.63 / $3,311.31
Hally Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $588.84 / $630.96
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$275.42 / $281.84 / $295.12
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $309.03 / $338.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $691.83 / $1,348.96
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $288.40 / $436.52
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $380.19 / $912.01