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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

Facilitymedian $355 · 10th–90th $48–$9550%5%10%10th90th$355Professionalmedian $102 · 10th–90th $60–$2290%5%10%10th90th$102$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $588.84 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $102.33 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $109.65 / $223.87
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $112.20 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $380.19 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $107.15 / $234.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $47.86 / $50.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $120.23 / $204.17
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $67.61 / $331.13
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $77.62 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $75.86 / $117.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $97.72 / $177.83