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California rates for HCPCS 77407

Radiation treatment delivery; Level 2, single-isocenter (eg, 3D or IMRT), photons, including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,230.27 / $3,311.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $281.84 / $758.58
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $676.08 / $912.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $281.84 / $1,318.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $251.19 / $512.86
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $269.15 / $870.96
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $128.82 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $870.96 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $257.04 / $537.03
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $436.52 / $588.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $758.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $1,445.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $346.74 / $691.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $524.81
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $95.50 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $630.96 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $245.47 / $524.81