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Delaware 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
$127.04 / $593.60 / $9,772.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $61.27 / $197.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.31 / $86.05 / $130.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.91 / $386.91 / $1,219.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.76 / $85.51 / $217.01