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Oklahoma 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
$129.69 / $518.19 / $1,475.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.53 / $97.65 / $119.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.86 / $101.86 / $101.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.84 / $76.98 / $120.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.32 / $102.53 / $575.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.95 / $98.22 / $810.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.78 / $85.71 / $149.69