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West 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
$177.83 / $194.98 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $489.78 / $776.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.55 / $234.42 / $478.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $251.19 / $426.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$54.95 / $257.04 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $1,202.26 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$239.88 / $549.54 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.47 / $645.65 / $1,174.90
Highmark BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$316.23 / $512.86 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $776.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$147.91 / $208.93 / $371.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.18 / $239.88 / $426.58