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Iowa rates for HCPCS 77301

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

Facilitymedian $871 · 10th–90th $398$1,3180%10%20%10th90th$871Professionalmedian $1,380 · 10th–90th $398$5,2480%5%10th90th$1,380$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
$398.11 / $870.96 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,511.89 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$389.05 / $630.96 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,202.26 / $2,041.74 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $4,466.84 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$912.01 / $1,000.00 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,951.21 / $3,467.37 / $4,365.16
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,511.89 / $6,606.93
Hally Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$436.52 / $676.08 / $1,584.89
Hally Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,380.38 / $2,137.96 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,288.25 / $1,905.46 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $3,235.94 / $11,748.98
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$446.68 / $549.54 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,288.25 / $1,905.46 / $8,912.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,168.69 / $5,370.32
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$851.14 / $977.24 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,754.23 / $3,235.94 / $3,890.45
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$1,000.00 / $1,000.00 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $3,801.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $1,584.89 / $3,388.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,398.83 / $4,073.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$416.87 / $537.03 / $954.99
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,380.38 / $1,819.70 / $3,235.94
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,388.44 / $4,073.80
Wellmark
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$616.60 / $776.25 / $912.01
Wellmark
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,089.30 / $2,630.27 / $3,090.30