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Minnesota rates for HCPCS 77301

Ntsty Modul Radthx Pln Dose-Vol Histos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$430.71 / $430.71 / $1,447.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,865.56 / $2,095.90 / $9,527.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$347.37 / $626.39 / $2,161.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,195.77 / $1,542.03 / $2,517.02
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$361.10 / $361.10 / $361.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,046.23 / $4,540.89 / $6,494.28
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$696.61 / $1,024.50 / $1,465.20
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,349.62 / $3,762.27 / $5,029.08
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,040.20 / $1,475.13 / $3,548.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,883.75 / $3,626.10 / $5,994.39
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$644.82 / $810.81 / $1,340.37
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,238.92 / $2,815.29 / $4,654.02
Health Partners
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$819.05 / $1,348.62 / $2,794.19
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,855.20 / $3,012.16 / $5,245.09
Health Partners
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$638.44 / $673.53 / $1,172.83
Health Partners
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,216.76 / $2,338.63 / $4,072.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,339.04 / $4,332.72 / $9,271.17
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$519.25 / $1,001.12 / $2,252.30
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,819.79 / $2,938.28 / $5,774.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.16 / $3,605.17 / $6,489.43
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$475.98 / $780.12 / $1,440.61
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,746.78 / $3,032.98 / $4,983.10