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Vermont rates for HCPCS 77301

Ntsty Modul Radthx Pln Dose-Vol Histos

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.65 / $2,185.65 / $2,326.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$405.68 / $414.95 / $414.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,770.70 / $1,770.70 / $1,920.41
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$2,348.58 / $2,348.58 / $2,348.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.69 / $2,293.69 / $7,813.46
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$522.66 / $522.66 / $1,766.43
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,866.14 / $1,866.14 / $1,866.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,451.28 / $2,760.25 / $7,813.46
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$547.45 / $567.79 / $1,766.43
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,892.61 / $2,153.62 / $3,397.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,451.28 / $2,760.25 / $7,813.46
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$547.45 / $567.79 / $1,766.43
MVP Health Care
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,892.61 / $2,153.62 / $3,397.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,133.35 / $2,514.44 / $8,311.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$399.49 / $552.79 / $1,879.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,453.40 / $2,134.05 / $6,432.44