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Maryland 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
$898.60 / $1,240.07 / $4,989.51
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.05 / $1,542.91 / $1,763.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.93 / $1,999.86 / $3,224.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.44 / $1,322.82 / $2,262.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.10 / $1,476.79 / $2,257.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.35 / $1,179.26 / $1,470.87