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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
$314.39 / $962.06 / $4,630.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.53 / $383.60 / $1,323.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.57 / $609.00 / $1,747.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.21 / $261.20 / $549.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.58 / $767.05 / $1,466.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.30 / $461.26 / $844.14
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.68 / $230.33 / $284.26
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,080.63 / $1,225.30 / $1,379.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.38 / $369.33 / $627.02