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New York 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
$346.74 / $1,071.52 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $275.42 / $794.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $257.04 / $467.74
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $575.44 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $416.87 / $1,047.13
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $549.54 / $1,698.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $933.25
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $229.09 / $457.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $660.69 / $1,288.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $426.58 / $524.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,258.93 / $1,584.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $295.12 / $691.83
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $173.78 / $269.15
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $478.63