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Rhode Island rates for HCPCS 77423

High energy neutron radiation treatment delivery, 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge, and/or compensator(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $97.72 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $1,096.48 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $93.33 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $1,445.44 / $2,511.89
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
$75.86 / $147.91 / $229.09