go back

Montana 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
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $245.47 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $199.53 / $389.05
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $223.87 / $398.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $223.87 / $398.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $218.78 / $457.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $138.04 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $181.97 / $251.19