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West Virginia rates for HCPCS 77301

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

Facilitymedian $363 · 10th–90th $331$5890%20%40%10th90th$363Professionalmedian $977 · 10th–90th $398$2,5120%10%10th90th$977$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$331.13 / $363.08 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,949.84 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$371.54 / $512.86 / $891.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,023.29 / $1,513.56 / $2,398.83
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $2,884.03 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$102.33 / $478.63 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,398.83 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$389.05 / $1,023.29 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,258.93 / $3,388.44 / $6,760.83
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$588.84 / $691.83 / $977.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,659.59 / $3,235.94
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$269.15 / $371.54 / $660.69
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$977.24 / $1,288.25 / $2,511.89