go back

Maine 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
$316.23 / $323.59 / $346.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $134.90 / $190.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $741.31 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $91.20 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $389.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $117.49 / $229.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $323.59 / $346.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $186.21 / $354.81