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Minnesota rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.82 / $218.00 / $794.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $134.82 / $739.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $110.86 / $885.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.34 / $95.68 / $96.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.46 / $261.58 / $629.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.25 / $141.15 / $236.27
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.24 / $239.15 / $495.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.14 / $117.25 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.58 / $374.74 / $855.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.76 / $181.00 / $758.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.16 / $153.38 / $328.00