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Pennsylvania 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
$210.34 / $252.01 / $421.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.70 / $271.50 / $425.20
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.34 / $252.01 / $421.84