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Washington 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
$100.00 / $1,698.24 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $100.00 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,659.59 / $2,754.23
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $229.09 / $2,511.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $295.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $79.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $128.82 / $524.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $120.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $177.83 / $251.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,621.81 / $3,162.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $186.21 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,089.30 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $125.89 / $275.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $89.13 / $125.89