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Maryland rates for HCPCS 77301

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

Facilitymedian $490 · 10th–90th $363$5130%20%40%10th90th$490Professionalmedian $1,585 · 10th–90th $407$4,6770%5%10%10th90th$1,585$100.0$500.0$2.0K$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
$363.08 / $489.78 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,630.27 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$371.54 / $676.08 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,148.15 / $1,949.84 / $4,897.79
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $1,905.46 / $2,187.76
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$389.05 / $457.09 / $467.74
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,187.76 / $5,011.87
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$331.13 / $446.68 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,148.15 / $1,737.80 / $3,890.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,398.83 / $4,073.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$416.87 / $478.63 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,584.89 / $1,905.46 / $3,311.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,949.84 / $3,548.13
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$302.00 / $407.38 / $758.58
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,174.90 / $1,584.89 / $2,818.38
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,398.83 / $3,019.95
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $501.19 / $645.65
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,905.46 / $2,398.83