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North Carolina rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.74 / $436.13 / $744.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $121.54 / $422.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.16 / $143.16 / $323.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.43 / $113.18 / $247.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.86 / $109.78 / $176.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.86 / $89.86 / $89.86
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,345.09 / $1,345.09 / $3,555.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $85.76 / $178.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.11 / $111.22 / $229.94
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.27 / $270.73 / $683.34
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.52 / $810.52 / $1,066.50