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Arkansas rates for HCPCS 77301

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

Facilitymedian $589 · 10th–90th $457$6760%20%10th90th$589Professionalmedian $1,349 · 10th–90th $372$2,4550%5%10%10th90th$1,349$100.0$200.0$500.0$1.0K$2.0K$5.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$457.09 / $588.84 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,949.84 / $3,235.94
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$316.23 / $436.52 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,071.52 / $1,513.56 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,137.96 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$426.58 / $489.78 / $630.96
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,412.54 / $1,621.81 / $2,089.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $2,884.03 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,691.53 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$354.81 / $549.54 / $831.76
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,258.93 / $2,089.30 / $3,090.30
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,801.89 / $3,981.07
Qualchoice
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$602.56 / $616.60 / $831.76
Qualchoice
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,041.74 / $3,388.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$380.19 / $467.74 / $812.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,288.25 / $1,621.81 / $2,570.40