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Connecticut rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.01 / $575.12 / $2,048.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $89.47 / $255.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.57 / $381.33 / $745.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.56 / $101.13 / $117.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.01 / $197.80 / $593.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.29 / $110.84 / $298.33
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.28 / $80.40 / $88.67
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.50 / $376.50 / $376.50
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $420.28 / $435.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.47 / $149.91 / $298.17