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Arkansas rates for HCPCS 77373

Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,130.72 / $2,440.98 / $2,756.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.31 / $1,407.31 / $1,429.59
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.41 / $1,618.41 / $1,644.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.67 / $1,540.17 / $2,215.19