go back

Iowa rates for HCPCS 77301

Ntsty Modul Radthx Pln Dose-Vol Histos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$602.29 / $1,190.14 / $1,993.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,709.16 / $3,018.54 / $11,080.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$387.09 / $660.96 / $2,139.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,306.59 / $2,021.38 / $8,751.70
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,254.58 / $1,292.23 / $1,329.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,589.23 / $4,364.09 / $5,455.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$841.80 / $975.83 / $1,219.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,747.43 / $3,388.26 / $4,235.32
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.29 / $2,363.73 / $5,260.75
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$392.74 / $648.16 / $1,121.84
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,216.55 / $1,859.22 / $3,608.11
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,292.23 / $1,292.23 / $1,292.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,963.48 / $2,927.36 / $11,628.82
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$455.85 / $554.15 / $2,845.07
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,440.67 / $1,900.69 / $9,015.64
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,292.23 / $1,329.87 / $2,339.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,660.00 / $3,841.17 / $5,050.79
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.85 / $1,531.62 / $3,219.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.94 / $2,324.40 / $3,582.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$451.96 / $539.64 / $918.70
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,498.39 / $1,819.79 / $5,211.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,705.83 / $3,425.10 / $4,029.50
Wellmark
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$618.80 / $783.30 / $921.50
Wellmark
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,087.10 / $2,641.90 / $3,108.10