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Alabama 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
$380.19 / $467.74 / $724.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $239.88 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $302.00 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $758.58 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $446.68 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $281.84 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $645.65 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $234.42 / $316.23