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Texas 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
$147.91 / $154.88 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.96 / $263.03 / $660.69
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $245.47 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $707.95
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$177.83 / $223.87 / $295.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $371.54 / $602.56
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $478.63 / $741.31
Christus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$213.80 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $562.34 / $933.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $269.15 / $446.68
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$213.80 / $316.23 / $537.03
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,412.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,981.07 / $3,981.07
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1,412.54 / $1,862.09 / $1,862.09
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,479.11 / $2,137.96 / $2,137.96
Moda Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$151.36 / $154.88 / $165.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $562.34 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$165.96 / $316.23 / $602.56
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $323.59 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $389.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $851.14 / $977.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $933.25
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.55 / $257.04 / $426.58
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $309.03 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $616.60 / $812.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$194.98 / $288.40 / $371.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$239.88 / $331.13 / $446.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $478.63
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.78 / $218.78 / $229.09
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $251.19 / $251.19