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Colorado 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 / $1,693.72 / $4,142.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.03 / $1,500.66 / $2,495.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.68 / $2,368.00 / $25,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.59 / $1,576.38 / $1,975.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.78 / $2,027.43 / $4,222.14