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Vermont 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
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $676.08 / $794.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $199.53 / $616.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $173.78 / $588.84