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Pennsylvania 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
$188.82 / $226.23 / $378.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.70 / $244.20 / $380.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.82 / $226.23 / $378.68