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New Hampshire 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
$218.78 / $501.19 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $144.54 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $660.69 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $288.40 / $398.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $162.18 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $177.83 / $371.54
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89