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Rhode Island rates for HCPCS 77301

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

Facilitymedian $1,950 · 10th–90th $1,950–$1,9500%50%100%$1,950Professionalmedian $1,259 · 10th–90th $372–$3,2360%5%10th90th$1,259$100.0$200.0$500.0$1.0K$2.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,238.72 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$281.84 / $457.09 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,000.00 / $1,737.80 / $2,290.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,187.76 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$346.74 / $380.19 / $891.25
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,202.26 / $1,288.25 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,981.07 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$524.81 / $794.33 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,778.28 / $3,162.28 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,290.87 / $3,235.94
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$354.81 / $512.86 / $707.95
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$933.25 / $1,949.84 / $2,570.40