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Nebraska rates for HCPCS 77301

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

Facilitymedian $1,202 · 10th–90th $871$3,6310%20%10th90th$1,202Professionalmedian $1,698 · 10th–90th $398$9,3330%10%10th90th$1,698$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
$870.96 / $1,202.26 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $4,265.80 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $912.01 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,318.26 / $2,818.38 / $9,332.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $4,570.88
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$478.63 / $812.83 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,388.44 / $3,467.37
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$724.44 / $776.25 / $812.83
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,348.96 / $2,511.89 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,265.80 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$588.84 / $977.24 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,398.83 / $3,311.31 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$891.25 / $1,905.46 / $1,905.46
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,235.94 / $13,489.63
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$478.63 / $776.25 / $2,818.38
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,659.59 / $2,187.76 / $8,912.51
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,981.07 / $6,309.57
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$812.83 / $912.01 / $1,445.44
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,691.53 / $3,019.95 / $4,897.79
Midlands
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $4,466.84
Midlands
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,047.13
Midlands
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,388.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,467.37 / $4,677.35
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$478.63 / $794.33 / $1,071.52
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,778.28 / $2,630.27 / $3,548.13