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Connecticut 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
$389.05 / $1,230.27 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $346.74 / $1,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $446.68 / $2,089.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $263.03 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $812.83 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $457.09 / $707.95
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $229.09 / $602.56
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,230.27 / $1,380.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $323.59 / $562.34