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Vermont 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
Professional
Modifier
Low / Median / High Price
$389.05 / $524.81 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$208.93 / $281.84 / $794.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$229.09 / $275.42 / $338.84
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $1,949.84
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$251.19 / $251.19 / $954.99
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $707.95 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$302.00 / $309.03 / $954.99
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$331.13 / $380.19 / $912.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
MVP Health Care
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$954.99 / $954.99 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $691.83 / $1,819.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$229.09 / $323.59 / $549.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$251.19 / $371.54 / $724.44