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Utah rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.18 / $323.14 / $570.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.04 / $94.72 / $173.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.47 / $121.63 / $385.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.37 / $88.93 / $232.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $45.00 / $61.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.33 / $128.41 / $211.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.31 / $104.44 / $162.56