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Minnesota rates for HCPCS 77403

Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks; 6-10 MeV

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.63 / $419.25 / $1,008.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.91 / $226.23 / $373.98
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.78 / $383.29 / $794.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.13 / $178.13 / $327.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.07 / $471.07 / $471.07