go back

Tennessee rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.25 / $207.77 / $594.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.53 / $109.19 / $185.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.57 / $100.61 / $206.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.20 / $206.93 / $394.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.40 / $115.88 / $275.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.11 / $683.34 / $683.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.52 / $810.52 / $1,066.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.23 / $98.52 / $318.08