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New Mexico 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
$90.75 / $192.28 / $1,071.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $64.06 / $153.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.49 / $92.49 / $92.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.63 / $89.81 / $212.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $85.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.49 / $92.49 / $130.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.63 / $89.81 / $176.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $83.84 / $162.01