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Alaska rates for HCPCS 77301

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

Facilitymedian $1,318 · 10th–90th $1,318$1,3180%50%100%$1,318Professionalmedian $1,549 · 10th–90th $427$5,7540%5%10th90th$1,549$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,089.30 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$407.38 / $457.09 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,071.52 / $1,621.81 / $6,309.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $4,265.80
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,897.79 / $6,309.57
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$416.87 / $1,047.13 / $1,479.11
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,584.89 / $3,890.45 / $5,011.87
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $16,982.44
Premera BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$1,584.89 / $1,698.24 / $3,630.78
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $13,182.57
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,890.45 / $5,754.40
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $562.34 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,445.44 / $2,041.74 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $6,918.31 / $26,302.68
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$537.03 / $1,778.28 / $6,760.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,290.87 / $5,128.61 / $19,498.45