go back

Oklahoma 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.54 / $167.54 / $424.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.55 / $525.55 / $525.55