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Maine 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
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $1,548.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,244.36 / $7,244.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,230.27 / $1,819.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,698.24 / $3,235.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,258.93 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,584.89 / $2,818.38