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Wyoming 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
$219.42 / $219.42 / $224.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.94 / $465.94 / $465.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$223.87 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$237.94 / $240.63 / $1,551.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.00 / $1,719.00 / $1,719.00
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$463.00 / $831.00 / $831.00
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$495.00 / $888.00 / $888.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.35 / $698.97 / $1,736.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$291.25 / $353.86 / $810.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$345.11 / $369.10 / $925.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.05 / $826.79 / $1,491.93
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$272.24 / $448.57 / $697.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$327.02 / $440.38 / $794.67