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New York rates for HCPCS 77301

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

Facilitymedian $589 · 10th–90th $417$1,6600%10%20%10th90th$589Professionalmedian $1,479 · 10th–90th $407$4,0740%5%10th90th$1,479$50.0$200.0$1.0K$5.0K$20.0K

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
$416.87 / $588.84 / $1,819.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,511.89 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$371.54 / $645.65 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,258.93 / $1,949.84 / $4,265.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46
Ambetter
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$426.58 / $426.58 / $426.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,041.74 / $5,128.61
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $436.52 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,258.93 / $1,621.81 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $2,089.30 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $478.63 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,162.28 / $7,244.36
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$363.08 / $645.65 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,318.26 / $2,570.40 / $6,606.93
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,754.23 / $4,168.69
Emblem Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$426.58 / $575.44 / $891.25
Emblem Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,621.81 / $2,187.76 / $3,235.94
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $1,862.09 / $3,715.35
Excellus BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$275.42 / $524.81 / $851.14
Excellus BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$75.86 / $1,479.11 / $2,818.38
Fidelis
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$645.65 / $645.65 / $645.65
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,041.74 / $3,467.37
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$446.68 / $776.25 / $1,023.29
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,630.27 / $4,168.69
MVP Health Care
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$478.63 / $588.84 / $1,122.02
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,659.59 / $2,041.74 / $3,715.35
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,398.83 / $5,754.40
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$331.13 / $537.03 / $1,318.26
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,202.26 / $1,905.46 / $5,011.87
Univera
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$346.74 / $446.68 / $1,288.25
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,290.87 / $4,677.35
Univera
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $537.03 / $1,258.93
Univera
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,148.15 / $1,737.80 / $3,801.89