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Pennsylvania 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
$8,317.64 / $21,877.62 / $39,810.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,174.90 / $1,584.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,288.25 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,128.61 / $24,547.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $3,890.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,513.56 / $1,995.26
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $2,137.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $18,197.01 / $42,657.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $21,379.62 / $38,904.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,148.15 / $1,584.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $3,388.44 / $3,388.44
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $3,388.44 / $7,079.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $21,379.62 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,479.11 / $2,570.40