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Nebraska 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
Professional
Modifier
Low / Median / High Price
$272.27 / $272.27 / $340.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.08 / $385.08 / $385.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $471.07 / $471.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.00 / $167.00 / $167.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $167.00 / $251.95