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Massachusetts 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
$48.98 / $128.82 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $120.23 / $398.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $87.10 / $812.83
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $100.00 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $169.82 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $257.04 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $162.18 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $181.97 / $371.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $79.43 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $56.23 / $177.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $190.55 / $363.08
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $446.68 / $2,137.96
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $128.82 / $208.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $87.10 / $812.83
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $100.00 / $446.68
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $338.84 / $524.81
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $85.11 / $199.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $138.04 / $371.54