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Wisconsin rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $537 · 10th–90th $339$9550%10%20%10th90th$537Professionalmedian $501 · 10th–90th $219$2,1880%5%10%10th90th$501$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
$338.84 / $478.63 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $630.96 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $478.63 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$186.21 / $309.03 / $660.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $707.95 / $2,630.27
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $338.84 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$245.47 / $380.19 / $1,380.38
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $309.03 / $602.56
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$602.56 / $691.83 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,445.44 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$263.03 / $602.56 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$346.74 / $851.14 / $1,318.26
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,122.02 / $1,348.96
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$457.09 / $524.81 / $645.65
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$512.86 / $602.56 / $724.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,258.93 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$263.03 / $512.86 / $1,698.24
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $676.08 / $6,165.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $660.69
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,202.26 / $2,187.76
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$316.23 / $588.84 / $1,000.00
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$354.81 / $645.65 / $1,148.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,380.38 / $3,235.94
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$537.03 / $1,412.54 / $1,412.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $4,265.80 / $7,585.78
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$371.54 / $1,122.02 / $1,698.24
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$446.68 / $3,548.13 / $6,456.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,584.89 / $1,584.89
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,951.21 / $3,630.78
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$602.56 / $758.58 / $1,348.96
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$891.25 / $1,000.00 / $2,290.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $2,089.30 / $3,548.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $645.65 / $1,698.24
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$263.03 / $549.54 / $1,584.89