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Ohio 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
$173.78 / $398.11 / $2,290.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $194.98 / $457.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $169.82 / $363.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $208.93 / $467.74
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $812.83 / $851.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $194.98 / $338.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $257.04 / $316.23
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $346.74 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $194.98 / $346.74