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Wyoming rates for HCPCS 77301

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

Facilitymedian $417 · 10th–90th $417$4170%50%100%$417Professionalmedian $1,072 · 10th–90th $407$5,4950%10%20%10th90th$1,072$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$416.87 / $416.87 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$398.11 / $426.58 / $1,047.13
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $3,630.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $7,079.46 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$870.96 / $1,621.81 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$2,884.03 / $5,495.41 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,162.28 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$537.03 / $676.08 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,995.26 / $2,511.89 / $5,248.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,754.23 / $6,606.93
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$457.09 / $512.86 / $1,230.27
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$1,949.84 / $2,344.23 / $5,370.32