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Hawaii rates for HCPCS 77301

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

Facilitymedian $490 · 10th–90th $437$5750%10%20%10th90th$490Professionalmedian $1,549 · 10th–90th $427$3,5480%5%10%10th90th$1,549$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
$436.52 / $489.78 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,089.30 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$302.00 / $512.86 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,122.02 / $1,949.84 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,905.46 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$323.59 / $446.68 / $870.96
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,122.02 / $1,513.56 / $3,388.44
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,630.27 / $2,691.53
HMSA
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$537.03 / $549.54 / $575.44
HMSA
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,949.84 / $2,089.30 / $2,137.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,630.27 / $3,019.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$446.68 / $524.81 / $602.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,778.28 / $2,089.30 / $2,454.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,630.27 / $14,454.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$87.10 / $489.78 / $3,311.31
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$85.11 / $2,089.30 / $11,220.18
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,162.28 / $5,248.07
University Health Alliance
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$436.52 / $630.96 / $1,000.00
University Health Alliance
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,479.11 / $2,344.23 / $4,265.80