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Washington rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $437 · 10th–90th $219$2,0890%10%10th90th$437Professionalmedian $513 · 10th–90th $224$1,4790%10%10th90th$513$50.0$200.0$1.0K$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
$218.78 / $426.58 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $707.95 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $426.58 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$218.78 / $354.81 / $1,148.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $407.38 / $1,288.25
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$190.55 / $354.81 / $467.74
Ambetter
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,023.29 / $1,513.56
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$302.00 / $467.74 / $707.95
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $549.54 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,047.13 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $426.58 / $676.08
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $575.44 / $912.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$288.40 / $512.86 / $6,025.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,071.52 / $1,380.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$288.40 / $478.63 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$331.13 / $588.84 / $758.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $158.49
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $346.74 / $416.87
Premera BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$295.12 / $295.12 / $309.03
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,023.29 / $1,380.38
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$309.03 / $478.63 / $645.65
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $537.03 / $724.44
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $1,000.00 / $1,513.56
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$316.23 / $467.74 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$363.08 / $537.03 / $794.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $645.65 / $1,318.26
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $288.40 / $575.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $346.74 / $870.96
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $676.08 / $1,071.52
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$251.19 / $309.03 / $467.74
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $371.54 / $602.56