go back

New York rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$222.95 / $310.61 / $721.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.03 / $625.17 / $1,550.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$198.28 / $273.58 / $585.29
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.08 / $351.60 / $736.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.83 / $532.83 / $532.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $534.36 / $1,389.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.10 / $240.45 / $543.27
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.04 / $291.30 / $791.44
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.99 / $361.40 / $679.39
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$256.04 / $256.04 / $256.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.31 / $811.12 / $1,705.34
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$195.68 / $316.12 / $706.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$236.63 / $449.05 / $1,005.05
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.84 / $658.20 / $1,227.55
Emblem Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$214.21 / $296.92 / $472.85
Emblem Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.64 / $361.28 / $631.49
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.64 / $471.87 / $896.70
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$155.63 / $228.52 / $437.38
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.78 / $316.25 / $473.38
Fidelis
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.59 / $498.59 / $498.59
Fidelis
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$237.03 / $237.03 / $237.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.38 / $543.60 / $781.86
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$248.38 / $308.45 / $546.51
MVP Health Care
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$256.04 / $256.04 / $256.04
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.66 / $839.37 / $1,766.49
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$221.77 / $314.87 / $657.10
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$258.27 / $390.57 / $987.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.51 / $612.91 / $1,493.47
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$183.32 / $244.04 / $610.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.04 / $323.70 / $979.61
Univera
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$241.57 / $241.57 / $731.54
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.62 / $626.29 / $1,384.63
Univera
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$155.63 / $295.66 / $653.66
Univera
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.33 / $330.62 / $730.96