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Ohio rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$207.95 / $297.37 / $737.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.97 / $580.23 / $1,401.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$207.95 / $287.37 / $572.66
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$225.02 / $347.18 / $763.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.13 / $319.13 / $444.32
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$170.96 / $217.97 / $299.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.87 / $729.35 / $1,308.09
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$235.23 / $280.39 / $478.88
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$294.18 / $445.24 / $811.73
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.01 / $523.01 / $523.01
Aultcare
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$252.17 / $252.17 / $252.17
Aultcare
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.85 / $270.85 / $270.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.53 / $309.87 / $598.36
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$353.10 / $353.10 / $353.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.39 / $691.13 / $1,318.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$213.70 / $296.91 / $516.16
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.17 / $355.78 / $857.15
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$353.10 / $353.10 / $353.10
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.23 / $691.13 / $1,541.49
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$215.22 / $300.56 / $553.90
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.97 / $339.23 / $693.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.38 / $317.56 / $605.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.37 / $592.85 / $1,201.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$184.13 / $254.74 / $441.60
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.90 / $309.87 / $668.01