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New Jersey rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$219.02 / $219.02 / $606.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.97 / $554.91 / $795.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$188.96 / $219.02 / $353.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.02 / $316.77 / $489.17
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$180.26 / $236.05 / $377.21
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.90 / $632.40 / $1,035.00
AmeriHealth
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$195.77 / $372.21 / $539.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.01 / $738.56 / $1,445.01
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$187.01 / $277.39 / $487.93
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.02 / $449.81 / $1,169.63
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.39 / $671.29 / $671.29
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$259.82 / $303.01 / $303.01
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$306.57 / $368.28 / $368.28
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.88 / $466.64 / $820.29
Horizon BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$182.15 / $219.95 / $378.09
Horizon BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$222.05 / $274.55 / $509.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.92 / $655.16 / $1,174.63
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$170.51 / $260.60 / $448.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.39 / $360.35 / $720.52