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Arizona rates for HCPCS 77402

Radiation treatment delivery; Level 1 (eg, single-electron field, multiple-electron fields, or 2D photons), including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.46 / $177.44 / $744.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.96 / $125.53 / $187.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.40 / $499.00 / $790.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.99 / $156.91 / $312.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.41 / $375.92 / $527.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.04 / $174.96 / $256.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.32 / $137.46 / $890.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.63 / $179.55 / $847.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.00 / $219.00 / $219.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.18 / $176.74 / $229.82