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Nebraska rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$219.42 / $1,070.86 / $1,805.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.96 / $525.23 / $2,489.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$216.01 / $492.65 / $1,183.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.30 / $233.30 / $1,531.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.96 / $1,070.93 / $1,070.93
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$409.77 / $434.99 / $512.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.23 / $893.84 / $916.19
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$397.95 / $425.38 / $436.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$438.25 / $468.44 / $480.14
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,255.32 / $1,255.32 / $1,255.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.62 / $1,110.86 / $1,422.44
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$376.00 / $523.60 / $654.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$474.62 / $586.69 / $767.94
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,325.34 / $1,325.34 / $1,325.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.80 / $943.55 / $7,381.05
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$270.31 / $432.76 / $1,699.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$336.11 / $489.93 / $6,233.93
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$738.20 / $759.70 / $1,255.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.62 / $1,079.82 / $1,651.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.49 / $438.50 / $896.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.80 / $943.55 / $1,155.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$270.31 / $432.76 / $554.83
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$336.11 / $471.75 / $600.20