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Alabama rates for HCPCS 77338

Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$213.80 / $380.19 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $524.81 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$186.21 / $354.81 / $660.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $263.03 / $549.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $371.54 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$181.97 / $204.17 / $316.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $707.95
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.55 / $269.15 / $323.59
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $331.13 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$223.87 / $275.42 / $467.74
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $316.23 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $645.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.82 / $234.42 / $309.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$190.55 / $263.03 / $331.13