go back

New Mexico 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
$107.15 / $112.20 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $131.83 / $190.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $501.19 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $173.78 / $218.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $60.26 / $79.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $117.49 / $154.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $173.78 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $446.68 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $173.78 / $281.84