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Connecticut rates for HCPCS 77301

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

Facilitymedian $1,862 · 10th–90th $617$2,6300%20%10th90th$1,862Professionalmedian $1,413 · 10th–90th $407$4,2660%5%10th90th$1,413$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$616.60 / $1,862.09 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,511.89 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$371.54 / $645.65 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,949.84 / $6,309.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,019.95 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$407.38 / $660.69 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,479.11 / $2,398.83 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,691.53 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$478.63 / $602.56 / $977.24
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,412.54 / $2,137.96 / $4,073.80
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,454.71 / $2,691.53
ConnectiCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$371.54 / $457.09 / $575.44
ConnectiCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,698.24 / $1,995.26 / $2,238.72
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $776.25 / $1,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,511.89 / $4,466.84
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$371.54 / $549.54 / $954.99
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,348.96 / $1,995.26 / $3,630.78