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Illinois 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
$107.15 / $204.17 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $138.04 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $177.83 / $2,041.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $194.98 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $245.47 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $229.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $724.44
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
$151.36 / $158.49 / $169.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $177.83 / $263.03