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North Carolina 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
$1,047.13 / $91,201.08 / $91,201.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,047.13 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,818.38 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,737.80 / $28,183.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,258.93 / $2,137.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $5,754.40 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,344.23 / $4,570.88
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $14,454.40
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,378.01 / $17,378.01 / $17,378.01