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Pennsylvania rates for HCPCS 77372

Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.82 / $1,518.62 / $6,175.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.25 / $983.25 / $983.25
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.35 / $921.88 / $1,893.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.27 / $1,836.25 / $4,357.67
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.58 / $1,156.28 / $1,475.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.36 / $848.36 / $848.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.59 / $1,518.62 / $6,175.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.10 / $1,459.86 / $1,946.48
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.27 / $1,836.25 / $4,357.67
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.37 / $914.82 / $1,007.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.17 / $1,151.24 / $1,926.89