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Missouri rates for HCPCS 77402

Radiation Treatment Delivery 1 Mev+ Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.65 / $183.05 / $261.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.65 / $122.03 / $134.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.00 / $250.00 / $250.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.83 / $157.31 / $252.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.85 / $422.01 / $473.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.41 / $168.30 / $262.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.65 / $183.05 / $890.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $182.70 / $847.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.49 / $219.00 / $219.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.07 / $161.01 / $282.89