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Arizona rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.71 / $198.93 / $390.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $66.58 / $160.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.73 / $185.43 / $305.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.07 / $60.58 / $120.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.10 / $268.72 / $339.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.15 / $106.39 / $168.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.31 / $142.69 / $365.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.31 / $101.01 / $810.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.31 / $101.01 / $210.90