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Michigan 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 / $14,791.08 / $30,199.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,148.15 / $1,584.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $11,748.98 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $2,089.30
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $10,964.78 / $30,199.52
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,258.93 / $1,905.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $2,089.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,456.54 / $20,892.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,698.24 / $2,630.27