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Illinois rates for HCPCS 77402

Radiation Treatment Delivery 1 Mev+ Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.53 / $210.93 / $497.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.65 / $120.53 / $184.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.12 / $334.92 / $2,929.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.32 / $195.16 / $292.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.50 / $250.38 / $913.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.09 / $170.47 / $283.87
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.92 / $194.57 / $665.32
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.15 / $157.08 / $168.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.47 / $135.47 / $219.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.10 / $181.22 / $286.55