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Washington, DC 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
$123.03 / $316.23 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $102.33 / $281.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $416.87 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $588.84 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $114.82 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $44.67 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $117.49 / $436.52