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Tennessee 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
$127.74 / $210.77 / $326.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.82 / $134.19 / $180.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.06 / $166.26 / $265.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.93 / $334.88 / $458.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.92 / $186.87 / $327.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.40 / $1,120.72 / $1,190.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.87 / $847.87 / $1,039.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.00 / $219.00 / $219.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.68 / $161.24 / $299.72