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Texas 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
$100.00 / $323.59 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $128.82 / $194.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $63.10 / $63.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $407.38 / $676.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $181.97 / $794.33
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $144.54 / $275.42
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $97.72 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $407.38 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $138.04 / $281.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,122.02 / $1,122.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $1,047.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $138.04 / $346.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $131.83 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $44.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $281.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $144.54 / $467.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $138.04 / $263.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $162.18 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $154.88 / $229.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $81.28