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California 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
$181.97 / $707.95 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $154.88 / $489.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $295.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $169.82 / $812.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $158.49 / $323.59
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $229.09 / $758.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $109.65 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $407.38 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $186.21 / $389.05
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $114.82 / $154.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $112.20 / $257.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $79.43 / $79.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $134.90 / $295.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $186.21 / $380.19
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $93.33 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $165.96 / $257.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $177.83 / $371.54