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Alaska rates for HCPCS 77412

Radiation treatment delivery; Level 3, multiple isocenters with photon therapy (eg, 2D, 3D, or IMRT) or a single-isocenter photon therapy (eg, 3D or IMRT) with active motion management, or total skin electrons, or mixed-electron/photon field(s), including imaging guidance, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.57 / $973.99 / $3,139.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.40 / $682.40 / $682.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.95 / $736.95 / $736.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.83 / $975.83 / $975.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.71 / $247.71 / $353.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.25 / $931.25 / $2,272.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.89 / $934.89 / $975.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.88 / $1,096.50 / $2,272.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.85 / $884.34 / $3,373.58