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Rhode Island 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
$616.60 / $912.01 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $239.88 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $489.78 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $407.38 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,047.13 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $537.03 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $263.03 / $446.68