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Illinois rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.17 / $259.30 / $1,036.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $106.71 / $219.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.66 / $359.15 / $3,880.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $400.00 / $400.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.23 / $176.38 / $799.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.73 / $133.60 / $221.19
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.85 / $175.01 / $490.09
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.53 / $131.81 / $142.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $108.37 / $180.88