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West Virginia rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Facilitymedian $195 · 10th–90th $178–$3160%50%10th90th$195Professionalmedian $389 · 10th–90th $204–$6310%10%20%10th90th$389$50.0$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$177.83 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $512.86 / $794.33
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$204.17 / $371.54 / $489.78
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$181.97 / $275.42 / $436.52
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $524.81 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$54.95 / $257.04 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,202.26 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $588.84 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$223.87 / $741.31 / $1,819.70
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$331.13 / $354.81 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $707.95 / $1,698.24
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$147.91 / $204.17 / $380.19
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$204.17 / $416.87 / $1,202.26