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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
$123.03 / $707.95 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $154.88 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $87.10 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $389.05 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $758.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $380.19 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $173.78 / $263.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $158.49 / $891.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $177.83 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $173.78 / $229.09