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Kentucky rates for HCPCS 77301

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

Facilitymedian $525 · 10th–90th $347$6920%10%20%10th90th$525Professionalmedian $1,445 · 10th–90th $407$2,8180%5%10th90th$1,445$50.0$200.0$1.0K$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
$389.05 / $524.81 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,949.84 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$363.08 / $501.19 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,513.56 / $2,818.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $2,238.72
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$338.84 / $446.68 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,949.84 / $2,951.21
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$416.87 / $446.68 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,445.44 / $2,089.30
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $1,348.96 / $2,238.72
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $478.63 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,951.21 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $691.83 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,288.25 / $2,290.87 / $6,760.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,949.84 / $2,884.03
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$363.08 / $436.52 / $676.08
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,174.90 / $1,584.89 / $2,344.23