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Kansas 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
$1,194.94 / $7,105.74 / $7,105.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.55 / $685.55 / $706.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,325.92 / $2,325.92 / $2,325.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.48 / $2,368.00 / $2,368.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.66 / $1,956.78 / $8,883.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.74 / $1,721.96 / $2,324.94