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Wisconsin rates for HCPCS 77401

Radiation Tx Delivery Superficial&/Ortho Volta

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.21 / $143.16 / $143.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.92 / $61.04 / $226.00
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.21 / $49.21 / $49.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.23 / $185.33 / $210.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.09 / $73.06 / $463.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $52.59 / $70.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.95 / $115.78 / $285.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.25 / $463.00 / $463.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.77 / $58.53 / $131.40