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Mississippi rates for HCPCS 77295

3-D Radiotherapy Plan Dose-Volume Histograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$186.34 / $224.71 / $376.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.81 / $591.38 / $754.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.34 / $231.59 / $391.54
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.47 / $348.92 / $381.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.58 / $337.58 / $337.58
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$166.20 / $232.68 / $519.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.00 / $1,304.00 / $1,304.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.81 / $796.43 / $1,202.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$191.32 / $342.33 / $442.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$206.49 / $388.12 / $772.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.43 / $543.33 / $1,505.68
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$191.33 / $262.70 / $518.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$212.49 / $277.42 / $884.64