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Virginia rates for HCPCS 77431

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

Facilitymedian $174 · 10th–90th $95$6170%10%10th90th$174Professionalmedian $126 · 10th–90th $89$2630%10%20%10th90th$126$100.0$500.0$2.0K$10.0K

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
$93.33 / $263.03 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $104.71 / $275.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $158.49 / $213.80
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $147.91 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $457.09 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $134.90 / $213.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $141.25 / $154.88
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $144.54 / $177.83
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $141.25 / $213.80
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $134.90 / $7,413.10
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $134.90 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $109.65 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $128.82 / $194.98