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Virginia rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $355 · 10th–90th $204$8710%10%20%10th90th$355Professionalmedian $380 · 10th–90th $209$8320%5%10%10th90th$380$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$204.17 / $354.81 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $549.54 / $831.76
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$194.98 / $275.42 / $501.19
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$208.93 / $309.03 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $707.95 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $331.13 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$257.04 / $380.19 / $645.65
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $549.54 / $4,897.79
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $245.47 / $371.54
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $302.00 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $724.44 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$181.97 / $302.00 / $537.03
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $407.38 / $1,288.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $645.65 / $691.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $295.12 / $331.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $346.74 / $380.19
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,862.09 / $2,041.74
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$323.59 / $346.74 / $446.68
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $630.96 / $5,128.61
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$223.87 / $302.00 / $537.03
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $398.11 / $1,023.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $741.31 / $1,698.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$186.21 / $281.84 / $446.68
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $398.11 / $1,348.96