go back

Louisiana 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 / $1,693.72 / $1,693.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.06 / $1,523.59 / $2,208.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.50 / $1,870.50 / $1,870.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.47 / $1,311.41 / $2,366.88