go back

Wyoming 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
$1,285.99 / $1,285.99 / $1,285.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.14 / $129.61 / $406.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.00 / $474.00 / $474.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.58 / $96.21 / $344.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.31 / $163.79 / $230.12