go back

New Hampshire rates for HCPCS 77401

Radiation treatment delivery, superficial and/or ortho voltage, per day

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.13 / $114.13 / $114.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.79 / $56.51 / $81.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.12 / $43.21 / $117.97
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.94 / $35.19