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Michigan rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $269 · 10th–90th $263$3310%50%10th90th$269Professionalmedian $398 · 10th–90th $214$8320%10%10th90th$398$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
$263.03 / $269.15 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $549.54 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $288.40 / $645.65
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $309.03 / $562.34
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
$186.21 / $218.78 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $707.95 / $758.58
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $501.19 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $660.69 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $281.84 / $457.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $302.00 / $549.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$263.03 / $269.15 / $524.81
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $549.54 / $1,096.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $263.03 / $512.86
Health Alliance Plan
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $302.00 / $602.56
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $724.44 / $2,187.76
Priority Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $371.54 / $489.78
Priority Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $302.00 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $645.65 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $263.03 / $398.11
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $316.23 / $891.25