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Missouri rates for HCPCS 77386

Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $602.56 / $1,778.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $446.68 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $436.52 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $660.69