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Missouri 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
$912.01 / $67,608.30 / $89,125.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $1,584.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,380.38 / $2,398.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,162.28 / $5,623.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,148.15 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $18,620.87 / $30,902.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,659.59 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,778.28 / $8,128.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,290.87 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $5,888.44 / $23,442.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,187.76 / $3,715.35