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Oregon 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
$181.97 / $457.09 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $89.13 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $239.88 / $239.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $239.88 / $380.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $85.11 / $346.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $275.42 / $1,096.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $85.11 / $138.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $251.19 / $257.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $151.36 / $239.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $223.87 / $363.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $239.88 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $123.03 / $331.13