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Nebraska rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $646 · 10th–90th $468$1,9050%20%10th90th$646Professionalmedian $513 · 10th–90th $214$1,5490%10%10th90th$513$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$467.74 / $645.65 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $851.14 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $489.78 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$234.42 / $489.78 / $1,659.59
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$251.19 / $398.11 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $891.25 / $912.01
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$389.05 / $416.87 / $436.52
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$426.58 / $467.74 / $630.96
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,122.02 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$338.84 / $524.81 / $676.08
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $588.84 / $870.96
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $891.25 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $407.38 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$288.40 / $467.74 / $6,165.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,047.13 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$436.52 / $489.78 / $776.25
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$478.63 / $549.54 / $870.96
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,096.48 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$512.86 / $512.86 / $562.34
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$575.44 / $575.44 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $912.01 / $1,202.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $426.58 / $575.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$309.03 / $467.74 / $616.60