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North Dakota 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
$229.09 / $229.09 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $1,202.26
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$199.53 / $380.19 / $602.56
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$204.17 / $263.03 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$398.11 / $489.78 / $588.84
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$436.52 / $537.03 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$269.15 / $407.38 / $537.03
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$309.03 / $436.52 / $660.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $954.99 / $2,884.03
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$234.42 / $446.68 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$263.03 / $524.81 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $912.01 / $1,258.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$223.87 / $416.87 / $588.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $489.78 / $660.69