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Wisconsin 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
$199.53 / $5,128.61 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $194.98 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $263.03 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $776.25 / $1,047.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $436.52 / $602.56
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $478.63 / $524.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $251.19 / $457.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $363.08 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $724.44 / $1,023.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,548.82 / $1,548.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $933.25 / $1,202.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,023.29
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,995.26 / $2,290.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,905.46 / $2,290.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,023.29 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $323.59 / $831.76