go back

Oklahoma rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $316 · 10th–90th $182–$1,2880%20%40%10th90th$316Professionalmedian $302 · 10th–90th $186–$6030%5%10%10th90th$302$200.0$500.0$1.0K$2.0K$5.0K

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
$181.97 / $316.23 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $501.19 / $630.96
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $223.87 / $398.11
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $269.15 / $346.74
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$173.78 / $251.19 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $446.68 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $562.34 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $213.80 / $338.84
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $309.03 / $933.25
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$524.81 / $1,318.26 / $1,318.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $602.56 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $251.19 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$213.80 / $323.59 / $6,165.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $549.54 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $234.42 / $331.13
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $302.00 / $870.96