go back

Wyoming rates for HCPCS 77295

3-Dimensional Radiotherapy Plan, Including Dose-Volume Histograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$219.42 / $219.42 / $224.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.72 / $481.44 / $2,406.51
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$219.42 / $690.00 / $1,938.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.30 / $254.66 / $1,179.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.00 / $1,772.00 / $1,772.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$463.00 / $831.00 / $831.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$525.00 / $941.00 / $941.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.51 / $723.60 / $1,739.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$291.25 / $353.86 / $810.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$347.26 / $369.75 / $928.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.01 / $961.22 / $1,809.50
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$271.44 / $386.41 / $705.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$343.77 / $512.65 / $1,104.39