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Idaho 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
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.59 / $1,996.59 / $1,996.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.46 / $1,898.74 / $2,303.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,673.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.45 / $2,044.73 / $2,303.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.80 / $1,995.03 / $2,801.55