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Utah 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
$269.15 / $1,698.24 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $91.20 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $741.31 / $2,344.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $575.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,778.28 / $2,511.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $131.83 / $151.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $562.34
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $154.88 / $323.59