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Nebraska 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
$1,023.29 / $8,317.64 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,174.90 / $1,258.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,912.51 / $18,197.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,090.30 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $39,810.72 / $39,810.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,818.38 / $3,548.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,862.09 / $11,220.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,818.38 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $9,549.93 / $12,589.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $3,019.95 / $5,011.87