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Missouri 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
$218.59 / $270.14 / $500.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.97 / $470.83 / $1,308.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$188.34 / $251.67 / $688.94
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.08 / $250.20 / $752.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.53 / $342.62 / $521.25
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.28 / $253.05 / $341.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.71 / $567.54 / $947.58
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$221.08 / $270.08 / $448.33
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.63 / $302.56 / $493.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.79 / $661.97 / $984.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$219.74 / $315.12 / $484.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$230.96 / $345.57 / $507.40
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$528.44 / $1,030.91 / $1,030.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.46 / $586.91 / $2,895.04
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$217.94 / $276.50 / $1,405.16
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$249.10 / $311.05 / $1,489.88
Qualchoice
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$411.80 / $411.80 / $411.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.46 / $629.64 / $1,048.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$217.94 / $286.07 / $464.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.84 / $311.05 / $529.78