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Arizona rates for HCPCS 77371

Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $12,022.64 / $85,113.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,174.90 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,754.23 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $41,686.94 / $57,543.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,621.81 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,454.71 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $6,456.54 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,041.74 / $3,162.28