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New Hampshire rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $813 · 10th–90th $355$8130%50%10th$813Professionalmedian $468 · 10th–90th $224$1,0230%5%10th90th$468$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$812.83 / $812.83 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $588.84 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $275.42 / $562.34
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $354.81 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $316.23 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $676.08 / $977.24
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $316.23 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $354.81 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $1,047.13 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $316.23 / $676.08
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $549.54 / $1,096.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $954.99 / $1,548.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$263.03 / $436.52 / $691.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $512.86 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $851.14 / $1,778.28
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$234.42 / $302.00 / $691.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$302.00 / $457.09 / $954.99
Well Sense
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82