go back

Maine rates for HCPCS 77373

Stereotactic Body Radiation Delivery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.72 / $1,790.81 / $1,838.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.27 / $1,348.34 / $1,898.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.81 / $1,399.75 / $2,626.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.94 / $1,790.81 / $3,587.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.81 / $1,947.11 / $3,064.64