go back

Rhode Island 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
$891.25 / $891.25 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $144.54 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $245.47 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $234.42 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $575.44 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $295.12 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $151.36 / $239.88