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Colorado 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
$239.88 / $1,412.54 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $251.19 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $338.84 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $616.60 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $389.05 / $575.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $741.31
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $467.74 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $588.84