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Pennsylvania rates for HCPCS 77402

Radiation Treatment Delivery 1 Mev+ Simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.06 / $327.77 / $731.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.71 / $123.23 / $145.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $155.88 / $155.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.27 / $319.26 / $537.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.10 / $148.57 / $262.75
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.38 / $159.32 / $229.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.70 / $290.75 / $528.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.85 / $327.77 / $731.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.71 / $123.23 / $224.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.67 / $171.28 / $309.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.41 / $292.94 / $537.79
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.10 / $149.55 / $270.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.05 / $129.05 / $129.05
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.05 / $129.05 / $131.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.05 / $156.19 / $265.31