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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
$898.60 / $898.60 / $898.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.05 / $1,542.91 / $5,832.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.86 / $2,407.14 / $2,407.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.81 / $1,465.55 / $3,412.74