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Vermont rates for HCPCS 77387

Guidance For Loclzj Target Vol For Radj Tx Dlvr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.28 / $66.28 / $82.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.62 / $565.55 / $924.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.81 / $86.81 / $312.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.78 / $714.78 / $714.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.08 / $167.95 / $312.75
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.78 / $714.78 / $714.78
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.08 / $167.95 / $312.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.77 / $117.02 / $578.92