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Hawaii 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
Professional
Modifier
Low / Median / High Price
$94.41 / $94.41 / $94.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.13 / $162.66 / $186.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.19 / $224.06 / $246.21
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.08 / $225.41 / $250.77