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Illinois 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
$870.96 / $1,479.11 / $5,888.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,479.11 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,174.90 / $2,691.53
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,819.70 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,174.90 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,778.28 / $2,344.23