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Virginia rates for HCPCS 77386

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.86 / $1,195.86 / $1,195.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.22 / $524.62 / $1,195.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.67 / $405.72 / $652.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.54 / $523.54 / $2,640.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.70 / $478.51 / $490.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.31 / $526.71 / $684.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.00 / $657.00 / $1,625.10
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.10 / $551.25 / $3,685.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.10 / $551.25 / $3,685.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.52 / $1,128.81 / $2,697.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.14 / $476.36 / $738.81