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Utah 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

Facilitymedian $933 · 10th–90th $479–$1,9500%10%20%10th90th$933Professionalmedian $363 · 10th–90th $204–$6310%10%20%10th90th$363$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $954.99 / $1,949.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $389.05 / $588.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $338.84 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $457.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $60.26 / $478.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $537.03 / $912.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $398.11 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $407.38 / $467.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $346.74 / $831.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $331.13 / $1,513.56