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Missouri rates for HCPCS 77301

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

Facilitymedian $724 · 10th–90th $407$1,3800%10%10th90th$724Professionalmedian $1,349 · 10th–90th $407$3,3880%5%10%10th90th$1,349$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$407.38 / $660.69 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,238.72 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$371.54 / $616.60 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,122.02 / $1,819.70 / $4,466.84
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$316.23 / $323.59 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,187.76 / $3,548.13
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$407.38 / $512.86 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,348.96 / $1,698.24 / $2,884.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,137.96 / $3,090.30
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$446.68 / $467.74 / $707.95
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,513.56 / $1,659.59 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,344.23 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $549.54 / $812.83
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,258.93 / $1,949.84 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$977.24 / $1,905.46 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,398.83 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$380.19 / $512.86 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,819.70 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,137.96 / $3,630.78
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$380.19 / $467.74 / $812.83
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,230.27 / $1,659.59 / $2,818.38