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Indiana rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $302 · 10th–90th $269$3720%20%40%10th90th$302Professionalmedian $407 · 10th–90th $214$1,0960%5%10%10th90th$407$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
$269.15 / $302.00 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $562.34 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$208.93 / $331.13 / $616.60
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $275.42 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $389.05
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$154.88 / $263.03 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,096.48 / $1,905.46
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$245.47 / $302.00 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $794.33 / $1,548.82
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $295.12 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $977.24 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$239.88 / $302.00 / $501.19
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $457.09 / $1,513.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $630.96 / $1,698.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $263.03 / $478.63
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$239.88 / $346.74 / $1,096.48