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New York rates for HCPCS 77387

Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed

Facilitymedian $219 · 10th–90th $69$1,0000%10%10th90th$219Professionalmedian $98 · 10th–90th $58$2450%10%10th90th$98$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $223.87 / $1,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $120.23 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $67.61 / $128.82
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $48.98
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $48.98 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $263.03 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $144.54 / $426.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $45.71 / $141.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $50.12 / $75.86
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $128.82 / $239.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $74.13 / $616.60
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $436.52 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $100.00 / $309.03
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $93.33 / $134.90
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $128.82 / $269.15