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Alaska rates for HCPCS 77387

Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.89 / $406.00 / $696.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $66.58 / $387.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.21 / $166.21 / $291.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.24 / $552.24 / $552.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.81 / $74.81 / $106.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.25 / $518.40 / $695.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.07 / $529.07 / $552.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.88 / $409.50 / $622.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.91 / $232.82 / $1,332.24