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Oklahoma 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
$205.57 / $696.33 / $936.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.30 / $200.66 / $239.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.48 / $973.03 / $1,545.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.06 / $256.06 / $256.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.05 / $216.93 / $325.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.53 / $207.81 / $617.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.05 / $255.38 / $1,543.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.05 / $233.73 / $395.72