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Oregon 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
$512.86 / $933.25 / $1,230.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $288.40 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $741.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $831.76 / $1,000.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $537.03 / $1,148.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $794.33 / $1,445.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $436.52 / $457.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $457.09 / $707.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $380.19 / $645.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,071.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $512.86 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,089.30 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $331.13 / $741.31