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Washington, DC 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
$758.58 / $1,047.13 / $7,762.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $5,128.61 / $6,606.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,288.25 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,513.56 / $3,388.44