go back

New Jersey 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
$64.20 / $614.72 / $1,333.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $68.40 / $128.46
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.40 / $8,347.89 / $13,793.79
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $126.00 / $126.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.07 / $431.34 / $1,885.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.51 / $108.13 / $177.21
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.67 / $88.67 / $88.67
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.94 / $95.29 / $128.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.68 / $108.37 / $193.70