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North Carolina 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
$190.55 / $446.68 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $134.90 / $436.52
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $85.11 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $63.10 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $194.98 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $114.82 / $263.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $120.23 / $204.17
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,905.46
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $151.36 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $104.71 / $213.80
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,071.52