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Rhode Island rates for HCPCS 77301

Ntsty Modul Radthx Pln Dose-Vol Histos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,565.13 / $2,565.13 / $2,565.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.84 / $1,889.42 / $3,468.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$279.98 / $368.80 / $722.27
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$989.87 / $1,542.03 / $1,932.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.28 / $2,232.01 / $4,129.91
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$354.02 / $505.74 / $857.64
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,208.39 / $1,726.27 / $2,003.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,325.02 / $3,917.86 / $5,269.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$526.80 / $858.32 / $1,153.69
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,798.20 / $3,059.54 / $4,115.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.25 / $2,406.34 / $3,258.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$351.07 / $606.71 / $713.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$935.70 / $2,088.25 / $3,409.26