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Ohio 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
$113.29 / $259.39 / $711.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.04 / $113.30 / $240.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.45 / $92.15 / $151.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.25 / $109.30 / $153.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.72 / $113.51 / $186.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.04 / $323.26 / $358.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.83 / $124.86 / $211.05
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.04 / $345.21 / $1,008.22
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.92 / $126.67 / $222.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $90.62 / $125.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.39 / $97.71 / $187.19