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Montana rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $355 · 10th–90th $355$4370%20%40%90th$355Professionalmedian $501 · 10th–90th $229$1,3490%10%20%10th90th$501$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $616.60 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $380.19 / $741.31
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $346.74 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $758.58
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$354.81 / $354.81 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $870.96 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $288.40 / $676.08
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $436.52 / $851.14
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $831.76 / $2,951.21
Providence
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$354.81 / $354.81 / $436.52
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $758.58 / $1,071.52
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $316.23 / $457.09
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $398.11 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $741.31 / $954.99
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $288.40 / $389.05
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $398.11 / $707.95