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Rhode Island rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $1,122 · 10th–90th $1,122$1,1220%50%100%$1,122Professionalmedian $380 · 10th–90th $186$9770%10%10th90th$380$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $630.96 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$162.18 / $263.03 / $724.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $346.74 / $489.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $562.34 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $204.17 / $478.63
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $234.42 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $891.25 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$281.84 / $446.68 / $616.60
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$323.59 / $446.68 / $741.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $831.76 / $1,412.54
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$199.53 / $275.42 / $380.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $426.58 / $933.25