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Virginia 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
$202.21 / $343.75 / $649.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.44 / $449.15 / $906.87
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$188.34 / $215.06 / $411.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.68 / $245.27 / $495.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.10 / $542.94 / $757.83
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$206.21 / $262.85 / $374.39
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$223.24 / $283.83 / $396.17
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.44 / $566.44 / $1,181.19
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$230.12 / $230.12 / $230.12
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$336.32 / $336.32 / $336.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$256.39 / $256.39 / $256.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.02 / $656.06 / $1,212.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$191.59 / $298.33 / $555.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.68 / $344.20 / $644.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.07 / $632.22 / $664.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$223.01 / $292.45 / $304.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.05 / $342.21 / $350.54
Medcost
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$319.02 / $321.81 / $666.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.00 / $421.00 / $785.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.00 / $552.19 / $7,473.00
Sentara
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$217.33 / $309.82 / $490.57
Sentara
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$237.50 / $352.00 / $549.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.80 / $603.05 / $942.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$184.99 / $281.38 / $418.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$209.81 / $340.94 / $528.78