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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
$208.93 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $234.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $269.15 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $288.40 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $338.84 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $257.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $199.53 / $309.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $144.54 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $323.59 / $407.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $257.04 / $281.84
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $199.53 / $316.23