go back

Indiana 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
$1,323.00 / $1,613.67 / $9,124.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.49 / $1,758.00 / $2,496.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.50 / $1,028.90 / $1,272.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.52 / $2,528.06 / $6,815.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.85 / $1,480.30 / $2,613.84