go back

Ohio rates for HCPCS 77404

Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 11-19Mev

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.34 / $261.61 / $421.84
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.24 / $121.24 / $165.99