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Maine 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
$1,174.90 / $1,202.26 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $186.21 / $549.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,174.90 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $331.13 / $537.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $891.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,202.26 / $1,258.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $269.15 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $346.74 / $691.83