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Wyoming 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
$741.31 / $1,000.00 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $251.19 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $354.81 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $436.52 / $758.58