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Nebraska 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
Professional
Modifier
Low / Median / High Price
$303.30 / $303.30 / $379.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.02 / $424.02 / $424.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $525.55 / $525.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.00 / $174.00 / $174.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $174.00 / $280.08