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Maryland rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $263 · 10th–90th $195$2690%20%40%10th90th$263Professionalmedian $437 · 10th–90th $209$1,3490%5%10%10th90th$437$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
$194.98 / $263.03 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $691.83 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $338.84 / $741.31
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $346.74 / $758.58
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $489.78 / $549.54
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $245.47 / $263.03
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$251.19 / $295.12 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $645.65 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$177.83 / $251.19 / $602.56
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $371.54 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $602.56 / $1,023.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$229.09 / $263.03 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$269.15 / $331.13 / $575.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $630.96 / $1,288.25
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$169.82 / $218.78 / $407.38
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $363.08 / $1,071.52
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $588.84 / $776.25
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $269.15 / $346.74
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $323.59 / $426.58