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Georgia rates for HCPCS 77301

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

Facilitymedian $776 · 10th–90th $355$1,9050%20%10th90th$776Professionalmedian $1,380 · 10th–90th $398$3,1620%10%10th90th$1,380$1.0$5.0$20.0$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
$354.81 / $776.25 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,041.74 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $588.84 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,122.02 / $1,548.82 / $3,235.94
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,778.28 / $2,454.71
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $602.56 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,238.72 / $3,890.45
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$389.05 / $512.86 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,258.93 / $1,778.28 / $3,162.28
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $1,698.24 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,818.38 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $588.84 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,258.93 / $2,238.72 / $3,630.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,570.40 / $3,981.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$467.74 / $549.54 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,737.80 / $2,041.74 / $3,981.07
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$645.65 / $2,137.96 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,398.83 / $4,786.30
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$371.54 / $501.19 / $1,071.52
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,318.26 / $1,905.46 / $3,801.89