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Texas 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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.78 / $424.02 / $424.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.55 / $525.55 / $525.55