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West Virginia 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
$95.50 / $794.33 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $190.55 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $398.11 / $575.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $112.20 / $223.87