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Washington, DC rates for HCPCS 77301

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

Facilitymedian $1,148 · 10th–90th $380$2,6920%20%10th90th$1,148Professionalmedian $1,230 · 10th–90th $398$3,3110%5%10th90th$1,230$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
$380.19 / $1,148.15 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,041.74 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$309.03 / $537.03 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,047.13 / $1,778.28 / $4,677.35
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,466.84 / $8,511.38
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,454.71 / $7,413.10
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$363.08 / $616.60 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,318.26 / $1,862.09 / $5,888.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,511.89 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$436.52 / $512.86 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,737.80 / $1,995.26 / $3,467.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,818.38 / $6,165.95
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$309.03 / $575.44 / $1,318.26
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,412.54 / $2,238.72 / $4,897.79