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Kentucky 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 / $1,693.72 / $2,440.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.31 / $1,308.59 / $1,865.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.91 / $1,132.95 / $1,374.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.70 / $2,565.21 / $5,992.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $916.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.32 / $1,396.51 / $1,896.63