go back

Georgia rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.59 / $602.44 / $3,695.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.08 / $98.23 / $168.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.01 / $505.00 / $1,021.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.20 / $96.76 / $232.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $120.47 / $158.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $94.11 / $251.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.38 / $205.78 / $268.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.22 / $113.70 / $369.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $413.00 / $413.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.01 / $993.27 / $1,112.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $68.23 / $185.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.16 / $107.59 / $284.52