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Arkansas rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.56 / $133.50 / $253.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $67.56 / $97.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.13 / $119.56 / $153.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.80 / $101.86 / $550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.18 / $111.92 / $175.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.12 / $93.69 / $185.72