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Virginia rates for HCPCS 77301

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

Facilitymedian $646 · 10th–90th $380$1,6220%10%20%10th90th$646Professionalmedian $1,514 · 10th–90th $398$3,1620%5%10th90th$1,514$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$380.19 / $645.65 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,137.96 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$354.81 / $467.74 / $891.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,202.26 / $1,737.80 / $2,691.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,691.53 / $3,890.45
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$416.87 / $616.60 / $933.25
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,412.54 / $2,089.30 / $2,884.03
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $2,089.30 / $5,495.41
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$407.38 / $457.09 / $691.83
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,096.48 / $1,479.11 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,344.23 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$338.84 / $537.03 / $851.14
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,148.15 / $1,949.84 / $3,162.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,630.27 / $2,884.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$416.87 / $549.54 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,548.82 / $2,041.74 / $2,238.72
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,238.72 / $2,630.27
Medcost
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$562.34 / $602.56 / $707.95
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $2,951.21
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $2,187.76 / $8,128.31
Sentara
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$407.38 / $549.54 / $1,000.00
Sentara
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,348.96 / $1,995.26 / $3,467.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,344.23 / $4,073.80
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$331.13 / $512.86 / $776.25
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,202.26 / $1,819.70 / $3,162.28