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Rhode Island 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
$1,288.25 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $223.87 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $281.84 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $478.63 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $588.84 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $407.38 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $208.93 / $331.13