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New Mexico rates for HCPCS 77301

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

Facilitymedian $603 · 10th–90th $537$7590%20%10th90th$603Professionalmedian $1,514 · 10th–90th $407$3,9810%10%10th90th$1,514$50.0$200.0$1.0K$5.0K

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
$537.03 / $602.56 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,137.96 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $562.34 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,122.02 / $1,698.24 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $1,258.93 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,818.38 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$457.09 / $602.56 / $794.33
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,412.54 / $2,238.72 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,288.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,818.38 / $3,548.13
Providence
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$457.09 / $602.56 / $794.33
Providence
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,412.54 / $2,238.72 / $2,818.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,630.27 / $3,801.89
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$478.63 / $512.86 / $851.14
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,905.46 / $2,089.30 / $2,951.21