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Virginia 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
$123.64 / $628.92 / $1,130.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.04 / $86.98 / $210.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.02 / $94.46 / $142.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.83 / $317.95 / $429.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.15 / $329.24 / $2,140.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.11 / $102.86 / $258.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.78 / $171.78 / $179.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.58 / $116.17 / $208.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.00 / $177.00 / $240.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $69.77 / $247.28
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.37 / $85.55 / $1,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $97.70 / $166.09