go back

Alabama 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
$52.48 / $158.49 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $134.90 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $29.51 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $190.55 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $87.10 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $186.21 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $91.20 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $83.18 / $123.03