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Louisiana rates for HCPCS 77301

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

Facilitymedian $676 · 10th–90th $457$7410%20%10th90th$676Professionalmedian $1,514 · 10th–90th $398$2,8180%5%10th90th$1,514$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
$457.09 / $676.08 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,137.96 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $512.86 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,122.02 / $1,621.81 / $2,290.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,089.30 / $2,238.72
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$338.84 / $457.09 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,691.53 / $3,019.95
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$489.78 / $645.65 / $724.44
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,621.81 / $2,041.74 / $2,290.87
Christus
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$39.81 / $426.58 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,949.84 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$288.40 / $478.63 / $812.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$954.99 / $1,513.56 / $3,019.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,949.84 / $2,691.53
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$323.59 / $436.52 / $630.96
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$912.01 / $1,513.56 / $2,187.76