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Iowa 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
$364.82 / $646.72 / $811.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.87 / $184.25 / $184.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.95 / $306.89 / $315.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.56 / $307.18 / $383.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.77 / $157.22 / $452.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.63 / $261.16 / $366.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $195.15 / $415.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.67 / $243.56 / $328.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.45 / $266.07 / $350.69
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.31 / $124.79 / $234.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.10 / $169.42 / $284.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.39 / $241.00 / $283.50