go back

North Carolina 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
$162.26 / $189.51 / $199.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.70 / $116.10 / $310.30
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.37 / $304.33 / $424.02
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.55 / $525.55 / $525.55