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Nebraska 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
$233.18 / $701.63 / $891.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.68 / $217.68 / $217.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $603.17 / $1,166.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.35 / $412.95 / $423.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.88 / $1,238.88 / $1,238.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.35 / $528.59 / $663.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.28 / $489.55 / $2,165.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.93 / $461.48 / $1,543.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $425.35 / $605.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.77 / $502.87 / $669.21
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.70 / $445.84 / $832.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.93 / $461.48 / $598.95