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Maine rates for HCPCS 77431

Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only

Facilitymedian $427 · 10th–90th $417–$5250%50%10th90th$427Professionalmedian $126 · 10th–90th $89–$2630%10%10th90th$126$100.0$200.0$500.0$1.0K

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
Typical Low / Median / Typical High
$416.87 / $426.58 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $112.20 / $245.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $524.81 / $588.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $151.36 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $147.91 / $263.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $158.49 / $309.03
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $125.89 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $147.91 / $275.42