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Texas rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $166 · 10th–90th $148$1,4130%20%10th90th$166Professionalmedian $389 · 10th–90th $182$1,2590%5%10th90th$389$50.0$200.0$1.0K$5.0K$20.0K

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
$147.91 / $165.96 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $501.19 / $2,089.30
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $257.04 / $562.34
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $257.04 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $467.74 / $512.86
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $239.88 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $407.38 / $645.65
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $602.56 / $812.83
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $616.60 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $269.15 / $457.09
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $338.84 / $724.44
Lucent Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,412.54
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $7,585.78
Lucent Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$1,698.24 / $1,862.09 / $1,862.09
Lucent Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$151.36 / $165.96 / $302.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $676.08 / $1,949.84
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$165.96 / $323.59 / $562.34
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$177.83 / $363.08 / $691.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $398.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $870.96 / $933.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $588.84 / $1,174.90
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $263.03 / $436.52
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $331.13 / $707.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $616.60 / $1,148.15
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $269.15 / $363.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $331.13 / $870.96
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $489.78 / $489.78
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $229.09 / $229.09
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $257.04 / $257.04