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West Virginia rates for HCPCS 77301

Ntsty Modul Radthx Pln Dose-Vol Histos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$332.76 / $366.03 / $366.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.34 / $1,774.22 / $2,326.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$332.76 / $399.48 / $900.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,016.58 / $1,397.23 / $1,920.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.36 / $2,784.16 / $3,700.52
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$477.29 / $477.29 / $477.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.93 / $2,234.46 / $8,665.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$391.16 / $553.33 / $1,981.60
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,308.73 / $1,681.14 / $6,683.85
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$569.66 / $637.66 / $967.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.45 / $1,923.80 / $3,591.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$270.41 / $449.59 / $843.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$983.41 / $1,596.73 / $3,602.46