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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

Facilitymedian $135 · 10th–90th $40$4070%20%10th90th$135Professionalmedian $110 · 10th–90th $58$2000%10%10th90th$110$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $134.90 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $109.65 / $199.53
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $120.23 / $154.88
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $199.53 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $199.53 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $93.33 / $181.97
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $79.43 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $95.50 / $194.98