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Kansas 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
$312.02 / $667.95 / $1,681.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.68 / $227.43 / $361.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.10 / $316.10 / $316.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.73 / $825.23 / $846.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.48 / $316.00 / $454.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.88 / $278.00 / $356.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.75 / $290.19 / $1,543.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.29 / $270.20 / $448.48