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Massachusetts 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
$933.25 / $1,202.26 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $1,584.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,786.30 / $19,952.62
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,513.56 / $4,466.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $10,715.19 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $25,118.86 / $61,659.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $2,089.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,995.26 / $7,413.10
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,778.28 / $2,691.53
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,089.30 / $4,073.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $4,786.30 / $19,952.62
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,513.56 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $16,218.10 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,778.28 / $3,890.45