go back

North Dakota rates for HCPCS 77301

Ntsty Modul Radthx Pln Dose-Vol Histos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$427.51 / $427.51 / $730.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.41 / $1,938.79 / $2,326.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$347.37 / $424.89 / $2,098.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,399.48 / $1,542.03 / $1,922.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,575.82 / $3,884.00 / $4,588.97
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$817.72 / $876.63 / $1,035.33
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,758.11 / $3,007.72 / $3,553.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,015.88 / $3,568.99 / $4,712.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$498.08 / $779.00 / $998.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,595.06 / $2,770.95 / $3,787.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.20 / $3,787.65 / $13,450.23
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$432.71 / $830.90 / $2,845.07
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,516.49 / $3,022.56 / $9,015.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.20 / $3,564.43 / $4,881.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$432.71 / $788.71 / $1,067.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,516.49 / $2,816.62 / $3,814.04