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Illinois rates for HCPCS 77404

Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks; 11-19 MeV

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.25 / $307.80 / $519.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $150.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00