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Rhode Island 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
$616.60 / $616.60 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $120.23 / $331.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $194.98 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $204.17 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $97.72 / $165.96