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Arkansas 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
$39.81 / $134.90 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $102.33 / $199.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $36.31 / $69.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $199.53 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $102.33 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $125.89 / $199.53
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $79.43 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $93.33 / $194.98