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Wisconsin rates for HCPCS 77338

Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan

Facilitymedian $479 · 10th–90th $339$9770%20%10th90th$479Professionalmedian $479 · 10th–90th $214$1,5490%5%10%10th90th$479$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$338.84 / $338.84 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $602.56 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$213.80 / $371.54 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$173.78 / $275.42 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $691.83 / $2,570.40
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$218.78 / $338.84 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$229.09 / $371.54 / $1,318.26
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $588.84
Cigna
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$602.56 / $691.83 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,288.25 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$263.03 / $602.56 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$316.23 / $676.08 / $1,258.93
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,096.48 / $1,318.26
DeanCare
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$457.09 / $524.81 / $645.65
DeanCare
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$489.78 / $616.60 / $741.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $1,023.29 / $2,884.03
Medica
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$257.04 / $501.19 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$275.42 / $562.34 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $660.69
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,230.27 / $2,089.30
Network Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$316.23 / $549.54 / $1,000.00
Network Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$338.84 / $660.69 / $1,071.52
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $1,122.02 / $2,137.96
Quartz
Facility/Professional
Facility
Modifier
26
Typical Low / Median / Typical High
$537.03 / $537.03 / $1,412.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $2,398.83 / $2,884.03
Quartz
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$371.54 / $1,122.02 / $1,412.54
Quartz
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$398.11 / $1,258.93 / $1,479.11
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $2,884.03 / $3,548.13
Security Health
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$645.65 / $758.58 / $1,288.25
Security Health
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$812.83 / $954.99 / $1,445.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $1,288.25 / $3,388.44
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$95.50 / $562.34 / $1,445.44
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$95.50 / $707.95 / $1,737.80