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New York rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.08 / $530.84 / $997.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $81.56 / $160.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $66.81 / $133.05
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.70 / $33.70 / $49.33
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $49.33 / $83.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.69 / $294.10 / $323.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $130.80 / $339.40
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.41 / $115.68 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $85.65 / $154.24
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.89 / $90.89 / $90.89
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.29 / $109.07 / $237.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.94 / $77.20 / $573.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.69 / $294.10 / $398.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $109.37 / $317.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.29 / $113.21 / $243.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.99 / $135.33 / $135.33
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.93 / $158.49 / $322.14