go back

North Carolina 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
$1,218.85 / $1,670.05 / $2,966.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.16 / $3,095.16 / $4,299.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,992.28 / $5,992.28 / $5,992.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.00 / $1,707.00 / $2,075.51
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.86 / $1,441.87 / $2,801.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.29 / $1,803.79 / $3,055.44
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,149.92 / $9,149.92 / $9,149.92