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Kentucky 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
$112.20 / $446.68 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $123.03 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $38.90 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $79.43 / $109.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $123.03 / $177.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $117.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $112.20 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $204.17 / $588.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $131.83