go back

New Hampshire rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.43 / $617.99 / $1,241.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.32 / $64.43 / $64.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.76 / $96.76 / $101.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.43 / $474.73 / $620.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.09 / $265.02 / $392.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.77 / $250.07 / $463.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.31 / $122.23 / $463.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $3,000.00 / $4,410.00