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Maine rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.52 / $291.14 / $1,052.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $60.53 / $102.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.13 / $349.65 / $573.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.77 / $101.36 / $126.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.07 / $173.87 / $295.52
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.00 / $633.00 / $633.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.63 / $181.23 / $340.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.93 / $582.29 / $1,196.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $65.59 / $102.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.40 / $96.50 / $262.77