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Pennsylvania rates for HCPCS 77387

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

Facilitymedian $417 · 10th–90th $129$1,1480%10%10th90th$417Professionalmedian $120 · 10th–90th $58$3160%10%10th90th$120$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$128.82 / $416.87 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $123.03 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $70.79
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $741.31 / $12,022.64
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $107.15
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $275.42 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $95.50 / $194.98
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $58.88
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $43.65 / $61.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $75.86 / $758.58
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $158.49 / $234.42
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $645.65 / $5,888.44
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $89.13
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $141.25 / $234.42
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $120.23 / $218.78
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $891.25 / $1,148.15
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $63.10 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $93.33 / $165.96