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Minnesota 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.33 / $467.02 / $1,123.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.42 / $252.01 / $416.60
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.31 / $426.97 / $884.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.43 / $198.43 / $364.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.55 / $525.55 / $525.55