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Arizona 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
$776.25 / $1,513.56 / $8,128.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $954.99 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,047.13 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,905.46 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,862.09 / $2,290.87