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Indiana 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
$131.83 / $257.04 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $204.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $100.00 / $128.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $128.82 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $158.49 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $234.42