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South Carolina rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.25 / $302.39 / $985.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.03 / $98.23 / $121.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.35 / $419.28 / $487.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.04 / $97.31 / $206.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.57 / $103.45 / $179.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.51 / $59.53 / $96.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.64 / $98.52 / $188.15