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Massachusetts rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $363 · 10th–90th $162$9120%20%10th90th$363Professionalmedian $501 · 10th–90th $219$1,3490%5%10%10th90th$501$50.0$200.0$1.0K$5.0K$20.0K

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
$162.18 / $363.08 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $588.84 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $371.54 / $741.31
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$199.53 / $309.03 / $1,148.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$251.19 / $537.03 / $1,412.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $707.95 / $7,585.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $269.15 / $1,698.24
AllWays Health Partners
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $416.87 / $6,456.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,023.29 / $1,548.82
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$263.03 / $446.68 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,000.00 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$257.04 / $426.58 / $660.69
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $549.54 / $1,071.52
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $426.58 / $776.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $870.96 / $1,621.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$234.42 / $316.23 / $602.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $380.19 / $724.44
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $416.87 / $467.74
Mass General Brigham
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$251.19 / $537.03 / $1,412.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $707.95 / $7,585.78
Mass General Brigham
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $269.15 / $1,698.24
Mass General Brigham
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $416.87 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $1,096.48 / $1,905.46
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $309.03 / $707.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $588.84 / $1,071.52