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Connecticut 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
$190.55 / $257.04 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $181.97 / $478.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $331.13 / $1,096.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $398.11 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $251.19 / $380.19
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $120.23 / $177.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $177.83 / $309.03