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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
$269.15 / $794.33 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $239.88 / $363.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $281.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $426.58 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $257.04 / $512.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $281.84 / $398.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $288.40 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $199.53 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $263.03 / $426.58