go back

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
$1,129.15 / $2,440.98 / $8,357.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.98 / $1,017.04 / $1,063.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.75 / $1,016.15 / $1,270.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.93 / $1,752.93 / $1,752.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.66 / $1,995.03 / $8,883.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.79 / $1,871.40 / $2,490.59