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Indiana 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
$93,325.43 / $93,325.43 / $93,325.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $1,584.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $37,153.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,230.27 / $1,995.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,258.93 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,778.28 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,778.28 / $3,019.95