go back

Rhode Island rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.55 / $370.55 / $973.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.32 / $70.39 / $249.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $27.26 / $35.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.01 / $195.16 / $419.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.35 / $208.23 / $367.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.83 / $123.42 / $164.56