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Idaho 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
$298.52 / $298.52 / $298.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.44 / $237.02 / $237.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.79 / $338.50 / $406.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.40 / $215.62 / $260.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.64 / $237.02 / $305.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.46 / $216.46 / $301.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.76 / $314.19 / $420.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.11 / $259.61 / $266.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.78 / $201.10 / $314.05