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Iowa 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
$1,092.27 / $7,105.74 / $8,357.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.57 / $2,898.21 / $2,898.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.91 / $1,174.39 / $5,575.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.18 / $1,912.82 / $6,308.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.16 / $2,588.98 / $3,288.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.92 / $1,011.29 / $1,774.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,224.18 / $1,669.34 / $2,524.03
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.87 / $1,808.70 / $2,127.90