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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
$323.59 / $776.25 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $229.09 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $660.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $223.87 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $213.80 / $1,621.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $263.03 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $831.76 / $1,445.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $234.42 / $346.74