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Nationwide rates for HCPCS 77301

Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$380.19 / $616.60 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,238.72 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$354.81 / $562.34 / $1,659.59
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,174.90 / $1,737.80 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,238.72 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$398.11 / $524.81 / $977.24
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,230.27 / $1,698.24 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$102.33 / $588.84 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,691.53 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$380.19 / $616.60 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,288.25 / $2,238.72 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,344.23 / $4,168.69
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$346.74 / $501.19 / $912.01
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,230.27 / $1,862.09 / $3,311.31