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Idaho rates for HCPCS 77301

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

Facilitymedian $955 · 10th–90th $955$1,2020%50%90th$955Professionalmedian $1,698 · 10th–90th $437$3,6310%5%10th90th$1,698$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$954.99 / $954.99 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,187.76 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$407.38 / $794.33 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,513.56 / $1,905.46 / $3,090.30
BCBS
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,388.44 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$676.08 / $794.33 / $851.14
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,187.76 / $2,570.40 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,691.53 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$489.78 / $602.56 / $812.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,698.24 / $2,137.96 / $2,884.03
Moda Health
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,202.26
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,467.37 / $4,365.16
Moda Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$446.68 / $741.31 / $977.24
Moda Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,698.24 / $2,691.53 / $3,090.30
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,801.89 / $3,801.89
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$724.44 / $831.76 / $870.96
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,511.89 / $2,951.21 / $2,951.21
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $3,715.35
Select Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $398.11 / $891.25
Select Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,412.54 / $1,445.44 / $3,311.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,454.71 / $4,073.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $524.81 / $831.76
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,584.89 / $1,905.46 / $3,235.94