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Texas 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
$851.14 / $47,863.01 / $57,543.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $1,778.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,388.44 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $13,489.63 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $33,884.42 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,202.26 / $1,659.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $14,454.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,378.01 / $17,378.01 / $17,378.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,548.82 / $57,543.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,548.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $691.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,659.59 / $45,708.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $11,481.54 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,621.81 / $3,090.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $562.34 / $616.60