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North Dakota 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
$251.19 / $891.25 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $251.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $436.52 / $602.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $389.05 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $489.78 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $446.68 / $691.83