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West 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
$93.33 / $588.84 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $123.03 / $190.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $123.03 / $169.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $199.53 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $158.49 / $588.84
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $501.19 / $776.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $63.10 / $123.03